http://www.legislation.gov.uk/uksi/2015/1879The National Health Service (Personal Medical Services Agreements) Regulations 2015texttext/xmlenNATIONAL HEALTH SERVICE, ENGLANDStatute Law Database2025-10-20Expert Participation2025-10-01 These Regulations consolidate provision previously contained in the National Health Service (Personal Medical Services Agreements) Regulations 2004 (S.I. 2004/627) as amended which are revoked by regulation 90 and Schedule 4. They set out, in relation to England, the framework for personal medical services contracts made by virtue of provision in section 92 of the National Health Service Act 2006 (“the Act”) (arrangements by the National Health Service Commissioning Board for the provision of primary medical services). The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 3The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 1reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 21AA(10)(a)(b)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 3(2)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 21AA(11)(a)(i)(ii)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 3(3)(a)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 21AA(11)(b)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 3(3)(b)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 21AA(12)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 3(4)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 59B(2)(e)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 4reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 64A(1)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 8reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 64ZAThe National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 5reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 64ZB(1)(a)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 6(2)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 64ZB(1A)(1B)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 6(3)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 64ZB(2)(a)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 6(4)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 64ZD(3)(a)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 7(a)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 64ZD(3)(b)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 7(b)reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015Sch. 2 para. 3AThe National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 9reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015Sch. 2 para. 5The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 10reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015Sch. 2 para. 17(3)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 2reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015Sch. 2A para. 3(7)The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2023Sch. 2 para. 11reg. 4reg. 1(2)The National Health Service (Personal Medical Services Agreements) Regulations 2015reg. 67FThe Social Security Coordination (Reciprocal Healthcare) (Amendment etc.) (EU Exit) Regulations 2019reg. 9reg. 1(1) 2015 No. 1879Made6th November 2015Laid before Parliament13th November 2015Coming into force7th December 2015The Secretary of State for Health, in exercise of the powers conferred by sections 93(2), 94(1), (2) (3), (3A)(a) and (6) to (9) and 272(7) and (8) of the National Health Service Act 2006 , makes the following Regulations.PART 111These Regulations may be cited as the National Health Service (Personal Medical Services Agreements) Regulations 2015.2They come into force on 7th December 2015.2These Regulations apply to an agreement—ato which the National Health Service (Personal Medical Services Agreements) Regulations 2004 applied immediately before the date on which these Regulations come into force; orbwhich is entered into between a contractor and NHS England on or after that date.3In these Regulations—“the Act” means the National Health Service Act 2006;“2004 Regulations” means the National Health Service (Personal Medical Services Agreements) Regulations 2004;“adjudicator” means the Secretary of State or a person or persons appointed by the Secretary of State under section 9(8) of the Act (NHS contracts) or under regulation 76(5)(b); “advanced electronic signature” means an electronic signature which meets the following requirements—it is uniquely linked to the signatory;it is capable of identifying the signatory;it is created using electronic signature creation data that the signatory can, with a high level of confidence, use under the signatory's sole control; andit is linked to the data signed in such a way that any subsequent change in the data is detectable; “agreement”, except in regulation 88 or in the definitions of “contract of engagement” and “third party contract” in regulation 21AA, means an agreement for primary medical services made under section 92 of the Act (arrangements by NHS England for the provision of primary medical services);“appliance” means an appliance which is included in a list for the time being approved by the Secretary of State for the purposes of section 126 of the Act (arrangements for pharmaceutical services); “appropriate person”—in relation to a person who has not attained the age of 16 years, means a person mentioned in paragraph 17(4)(a)(i), (ii) or (iii) of Schedule 2;in relation to a person who lacks capacity—to make an application or provide information to, to accept an offer from, or otherwise communicate with, the contractor, orto authorise the making of an application or provision of information to, the acceptance of an offer from, or other communication with, the contractor on their behalf,means a person mentioned in paragraph 17(4)(b)(i), (ii), (iii) or (iv) of Schedule 2; “armed forces GP” means a medical practitioner, who is employed on a contract of service by the Ministry of Defence, whether or not as a member of the armed forces of the Crown;“armed forces of the Crown” means the forces that are “regular forces” or “reserve forces” within the meaning given in section 374 of the Armed Forces Act 2006 ;“assessment panel” means the panel appointed by NHS England for the purposes of making determinations under paragraph 40(3) of Schedule 2; “authorised person”, in relation to a patient, is a person who is entitled to make an application for pharmaceutical services on behalf of the patient by virtue of regulation 116(a) to (c) of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (authorised persons to apply for services); “bank holiday” means any day that is specified or proclaimed as a bank holiday in England and Wales under section 1 of the Banking and Financial Dealings Act 1971 (bank holidays);“batch issue” means a form, in the format required by NHS England and approved by the Secretary of State, which—is issued by a repeatable prescriber at the same time as a non-electronic repeatable prescription to enable a chemist or person who provides dispensing services to receive payment for the provision of repeat dispensing services;relates to a particular non-electronic repeatable prescription and contains the same date as that prescription;is generated by a computer and not signed by a repeatable prescriber;is issued as one of a sequence of forms, the number of which is equal to the number of occasions on which the drugs, medicines or appliances ordered on the non-electronic repeatable prescription may be provided; andhas included on it a number denoting its place in the sequence referred to in paragraph (d);...... “CCT” means a certificate of completion of training awarded under section 34L(1) of the Medical Act 1983 (award and withdrawal of a Certificate of Completion of Training) ...;“charity trustee” means one of the persons having the general control, management and administration of a charity;“chemist” means—a person lawfully conducting a retail pharmacy business in accordance with section 69 of the Medicines Act 1968 (general provisions); ora supplier of appliances,who is included in the list held by NHS England under section 129 of the Act (regulations as to pharmaceutical services), or a local pharmaceutical services scheme made under Schedule 12 to the Act (LPS Schemes);“child” , other than in Part 2A of Schedule 2, means a person who has not attained the age of 16 years;“chiropodist or podiatrist independent prescriber” means a person who—is engaged or employed by a party to the agreement; andis registered in Part 2 of the register maintained under article 5 of the Health Professions Order 2001 (establishment and maintenance of register), and against whose name in that register is recorded an annotation signifying that the chiropodist or podiatrist is qualified to order drugs, medicines and appliances as a chiropodist or podiatrist independent prescriber;“clinical services” means medical services under the agreement which relate to the actual observation and treatment of patients;“closed”, in relation to a contractor's list of patients, means closed to applications for inclusion in the list of patients other than from immediate family members of registered patients;“contractor”, except in regulation 5, means a person or persons other than NHS England who is a party, or who are parties, to the agreement; “contractor’s EPS phase 4 date” means the date, encoded within the Electronic Prescription Service software, which is the date that a contractor has agreed is to be the date on and after which the contractor’s prescribers are to use the Electronic Prescription Service for all eligible prescriptions; “contractor's list of patients” means the list prepared and maintained by NHS England under paragraph 13 of Schedule 2;“core hours” means , subject to regulation 3A(1), the period beginning at 8.00am and ending at 6.30pm on any day from Monday to Friday except Good Friday, Christmas Day or bank holidays; “digital practice area map” means a map of the practice area produced on digital tools provided by NHS England; “directly bookable appointment” means an appointment of a type which, in line with the guidance entitled “Directly bookable appointments – guidance for practices” issued by NHS England, is available for booking by a registered patient or an appropriate person on their behalf; “dispenser” means a chemist, medical practitioner or contractor whom a patient would like to dispense the patient's electronic prescriptions;“dispensing services” means the provision of drugs, medicines or appliances that may be provided as pharmaceutical services by a medical practitioner in accordance with arrangements under section 126 (arrangements for pharmaceutical services) and section 132 (persons authorised to provide pharmaceutical services) of the Act ;“Drug Tariff” means the publication known as the Drug Tariff which is published by the Secretary of State and which is referred to in section 127(4) of the Act (arrangements for additional pharmaceutical services);“electronic communication” has the meaning given in section 15 of the Electronic Communications Act 2000 (general interpretation);“electronic prescription” means an electronic prescription form or an electronic repeatable prescription;“electronic prescription form” means a prescription form which falls within paragraph (b) of the definition of “prescription form”;“Electronic Prescription Service” means the service of that name which is managed by NHS England;“electronic repeatable prescription” means a prescription which falls within paragraph (b) of the definition “repeatable prescription”; “electronic signature” means data in electronic form which is attached to or logically associated with other data in electronic form and which is used by the signatory to sign;“electronic signature creation data” means unique data which is used by the signatory to create an electronic signature; “English health service medicine” means a medicinal product used to any extent for the purposes of the health service continued under section 1(1) of the Act; “EPS token” means a form (which may be an electronic form), approved by the Secretary of State, which—is issued by a prescriber at the same time as an electronic prescription is created; andhas a barcode that enables the prescription to be dispensed by a provider of pharmaceutical services that is able to use the Electronic Prescription Service for the purposes of dispensing prescriptions, in circumstances where the provider is not dispensing the prescription as a nominated dispenser; “essential services” means the services required to be provided in accordance with regulation 17 of the General Medical Services Contracts Regulations;“financial year” has the meaning given in section 275(1) of the Act (interpretation);“general medical practitioner” means a medical practitioner whose name is included in the General Practitioner Register kept by the General Medical Council under section 2 of the Medical Act 1983 (registration of medical practitioners);“General Medical Services Contracts Regulations” means the National Health Service (General Medical Services Contracts) Regulations 2015 ; “GPIT Operating Model” means the document entitled “Securing Excellence in Primary Care (GP) Digital Services: The Primary Care (GP) Digital Services Operating Model 2021-23 V5” issued by NHS England; “GP Specialty Registrar” means a general medical practitioner who is being trained in general practice by a general medical practitioner who is approved under section 34I(1)(c) of the Medical Act 1983 (postgraduate education and training: approvals) for the purpose of providing training in accordance with that section, whether as part of training leading to a CCT or otherwise;“Health and Social Services Board” means a Health and Social Services Board established under article 16 the Health and Social Services (Northern Ireland) Order 1972 (establishment of Health and Social Services Boards);“Health and Social Services Trust” means a Health and Social Services Trust established under article 10 of the Health and Personal Services (Northern Ireland) Order 1991 (ancillary services);“Health Board” means a Health Board established under section 2 of the National Health Service (Scotland) Act 1978 (Health Boards);“health care professional” has the meaning given in section 108 of the Act (participants in section 107 arrangements) and “health care profession” is to be construed accordingly;“health service body” has the meaning given in section 9(4) of the Act (NHS contracts);“home oxygen order form” means a form provided by NHS England and issued by a health care professional to authorise a person to supply home oxygen services to a patient requiring oxygen therapy at home;“home oxygen services” means any of the following forms of oxygen therapy or supply—ambulatory oxygen supply;urgent supply;hospital discharge supply;long term oxygen therapy; andshort burst oxygen therapy;“immediate family member” means—a spouse or civil partner;a person whose relationship with the registered patient has the characteristics of the relationship between spouses;a parent or step-parent;a son or daughter;a child of whom the registered patient is—the guardian, orthe carer duly authorised by the local authority to whose care the child has been committed under the Children Act 1989 ; ora grandparent;“independent nurse prescriber” means a person—who is either engaged or employed by the contractor or who is a party to the agreement;who is registered in the Nursing and Midwifery Register; andagainst whose name in that register is recorded an annotation signifying that that person is qualified to order drugs, medicines and appliances as a community practitioner nurse prescriber, a nurse independent prescriber or as a nurse independent/supplementary prescriber; “integrated care board” means an integrated care board established under Chapter A3 of Part 2 of the Act; “licensing body” means a body that licenses or regulates a profession;...... “listed prescription items” means the prescription items mentioned in regulation 13(1) of the National Health Service (Charges for Drugs and Appliances) Regulations 2015 (exemption from charges: risks to public health); “listed prescription items voucher” means a form which—is provided or approved by NHS England for the purposes of ordering a prescription item mentioned in regulation 13(1) of the National Health Service (Charges for Drugs and Appliances) Regulations 2015; andmay be an electronic form sent or to be sent via a secure service approved for this purpose by NHS England; “Local Health Board” means a body established under section 11 of the National Health Service (Wales) Act 2006 (Local Health Boards);“Local Medical Committee” means a committee recognised by NHS England under section 97 of the Act (local medical committees);...“medical performers list” means the list of medical practitioners maintained and published by NHS England in accordance with section 91 of the Act (persons performing medical services);“Medical Register” means the registers kept under section 2 of the Medical Act 1983 (registration of medical practitioners);“national disqualification” means—a decision made by the First-tier Tribunal under section 159 of the Act (national disqualification) or under regulations corresponding to that section made under—section 91(3) of the Act (persons performing primary medical services),section 106(3) of the Act (persons performing primary dental services),section 123(3) of the Act (persons performing primary ophthalmic services), andsection 145, 146 or 147A (performers of pharmaceutical services and assistants),of the Act ; ora decision under provisions in force in Wales, Scotland or Northern Ireland corresponding to section 159 of the Act (national disqualification);“NHS contract” has the meaning given in section 9 of the Act (NHS contracts);“NHS dispute resolution procedure” means the procedure for the resolution of disputes specified—in Part 13; orin a case to which paragraph 41 of Schedule 2 applies, in that paragraph; “NHS England” means the body corporate established under section 1H of the Act; “NHS foundation trust” has the meaning given in section 30 of the Act (NHS foundation trusts);“NHS trust” means a body established under section 25 of the Act (NHS trusts);“nominated dispenser” means a chemist, medical practitioner or contractor who has been nominated in respect of a patient where the details of that nomination are held in respect of that patient in the Patient Demographics Service which is operated by NHS England;“non-electronic prescription form” means a prescription form which falls within paragraph (a) of the definition of “prescription form”;“non-electronic repeatable prescription” means a prescription form for the purpose of ordering a drug, medicine or appliance which—is provided by NHS England, a local authority or the Secretary of State;is issued, or is to be issued, by the prescriber;indicates that the drug, medicine or appliance ordered may be provided more than once; andspecifies, or is to specify, the number of occasions on which the drug, medicine or appliance may be provided;“normal hours” means those days and hours on which and the times at which services under the agreement are normally made available and may be different for different services;“Nursing and Midwifery Register” means the register maintained by the Nursing and Midwifery Council under article 5 of the Nursing and Midwifery Order 2001 (establishment and maintenance of register); “online consultation tool” has the meaning given in regulation 64ZD; “online practice profile” has the meaning given in regulation 66(7); “open”, in relation to a contractor's list of patients, means open to applications from patients in accordance with paragraph 17 of Schedule 2;“optometrist independent prescriber” means a person—who is registered in the register of optometrists maintained under section 7(a) of the Opticians Act 1989 (register of opticians); andagainst whose name is recorded an annotation signifying that that person is qualified to order drugs, medicines and appliances as an optometrist independent prescriber;“out of hours period” means subject to regulation 3A(2)—the period beginning at 6.30pm on any day from Monday to Thursday and ending at 8.00am on the following day;the period beginning at 6.30pm on Friday and ending at 8.00am on the following Monday; andGood Friday, Christmas Day and bank holidays,and “part” of an out of hours period means any part of any one or more of the periods described in paragraphs (a) to (c);“out of hours services” means the services required to be provided in all or part of the out of hours period which would be essential services if provided by a contractor to its registered patients in core hours; “paramedic independent prescriber” means a person—who is either engaged or employed by the contractor or who is a party to the agreement;who is registered in the register maintained by the Health and Care Professions Council under article 5 of the Health Professions Order 2001 (establishment and maintenance of register); andagainst whose name in that register is recorded an annotation signifying that that person is qualified to order drugs, medicines or appliances as a paramedic independent prescriber;“parent” includes, in relation to any child, an adult who, in the opinion of the contractor, is for the time being discharging in respect of that child the obligations normally attaching to a parent in respect of their child;“patient” means—a registered patient;a temporary resident;persons to whom the contractor is required to provide immediately necessary treatment as part of its obligation to provide essential services; andany other person to whom the contractor has agreed to provide services under the agreement; andany person in respect of whom the contractor is responsible for the provision of out of hours services;“performer” means a performer of medical services under the agreement to whom the provisions of Part 8 of these Regulations applies;“pharmacist independent prescriber” means a person who—is either engaged or employed by the contractor or is a party to the agreement;is registered in Part 1 of the register maintained under article 19 of the Pharmacy Order 2010 (establishment, maintenance and access to the Register), or the register maintained under article 6 (the registers) and 9 (the Registrar) of the Pharmacy (Northern Ireland) Order 1976 ; andagainst whose name in that register is recorded an annotation signifying that that person is qualified to order drugs, medicines and appliances as a pharmacist independent prescriber;“physiotherapist independent prescriber” means a person who is—engaged or employed by the contractor or is a party to the agreement; andregistered in Part 9 of the register maintained under article 5 of the Health Professions Order 2001 (establishment and maintenance of register), and against whose name in that register is recorded an annotation signifying that that person is qualified to order drugs, medicines and appliances as a physiotherapist independent prescriber;“post-registration programme” means a programme that is for the time being recognised by the General Medical Council under regulation 10A of the Medical Act 1983 (programmes for provisionally registered doctors) as providing registered doctors with an acceptable foundation for future practise as a fully registered medical practitioner;“practice” means the business operated by the contractor for the purpose of delivering services under the agreement;“practice area” means the area specified in the agreement as the area in which essential services are to be provided;“practice leaflet” means a leaflet drawn up in accordance with regulation 71;“practice premises” means an address specified in the agreement as one at which services are to be provided under the agreement; “practice website” means a website through which the contractor advertises the primary medical services it provides;“prescriber” means—a chiropodist or podiatrist independent prescriber;an independent nurse prescriber;a medical practitioner;an optometrist independent prescriber;a paramedic independent prescriber;a pharmacist independent prescriber;a physiotherapist independent prescriber;a supplementary prescriber; anda therapeutic radiographer independent prescriber;“prescription form” means—a form for the purpose of ordering a drug, medicine or appliance which is—provided by NHS England, a local authority or the Secretary of State which is in the form required by the NHS Business Services Authority ,issued, or is to be issued, by the prescriber, anddoes not indicate that the drug, medicine or appliance ordered may be provided more than once; orin the case of an electronic prescription to which regulation 50 applies, data created in an electronic form for the purpose of ordering a drug, medicine or appliance, which—is signed, or is to be signed, with a prescriber's electronic signature,is transmitted, or is to be transmitted, as an electronic communication to a nominated dispenser or via an information hub by the Electronic Prescription Service, anddoes not indicate that the drug, medicine or appliance ordered may be provided more than once;“prescription only medicine” means a medicine referred to in regulation 5(3) of the Human Medicines Regulations 2012 (classification of medicinal products);“primary care list” means—a list of persons performing primary medical services, primary dental services or primary ophthalmic services or pharmaceutical services prepared in accordance with regulations made under—section 91 of the Act (persons performing primary medical services),section 106 of the Act (persons performing primary dental services),section 123 of the Act (persons performing primary ophthalmic services), andsections 145, 146, 147A or 149 (performers of pharmaceutical services and assistants),of the Act ;a list of persons undertaking to provide, or assist in the provision of—primary medical services, prepared in accordance with regulations made under Part 4 of the Act (primary medical services),primary dental services, prepared in accordance with regulations made under Part 5 of the Act (primary dental services),primary ophthalmic services prepared in accordance with regulations made under Part 6 of the Act (persons performing primary ophthalmic services),pharmaceutical services, prepared in accordance with regulations made under Part 7 of the Act (pharmaceutical services and local pharmaceutical services); ora list corresponding to any of the above in Wales, Scotland or Northern Ireland;“Primary Care Trust” means the Primary Care Trust which was a party to the agreement immediately before the coming into force of section 34 of the Health and Social Care Act 2012 (abolition of Primary Care Trusts);“primary carer” means, in relation to an adult, the adult or organisation primarily caring for that adult; “Primary Medical Services (Directed Enhanced Services) Directions” means directions relating to provision of enhanced services given to NHS England under section 98A(3) of the Act; “primary medical services” means medical services provided under or by virtue of a contract or agreement to which Part 4 of the Act applies; “private services” means the provision of any treatment which would amount to primary medical services if it was provided under or by virtue of a contract or agreement to which the provisions of Part 4 of the Act apply;“registered patient” means a person—who is recorded by NHS England as being included in the contractor's list of patients; orwhom the contractor has accepted for inclusion in its list of patients, whether or not notification of that acceptance has been received by NHS England and who has not been notified by NHS England as having ceased to be on that list;“relevant register” means—in relation to a nurse, the Nursing and Midwifery Register;in relation to a pharmacist, Part 1 of the register maintained under article 19 of the Pharmacy Order 2010 (establishment, maintenance and access to the Register), or the register maintained under article 6 (the register) and article 9 (the Registrar) of the Pharmacy (Northern Ireland) Order 1976 ;in relation to an optometrist, the register maintained by the General Optical Council under section 7(a) of the Opticians Act 1989 (register of opticians); andthe part of the register maintained by the Health and Care Professions Council under article 5 of the Health Professions Order 2001 (establishment and maintenance of register) relating to— chiropodists and podiatrists,paramedics,physiotherapists, orradiographers; “remote service” means—an online consultation under regulation 64ZD;a secure electronic communication under regulation 64ZE;a video consultation under regulation 64ZF;a telephone consultation;an electronic prescription;any other service which can be provided through a digital or telecommunications method, including administrative tasks in support of the agreement; “repeat dispensing services” means pharmaceutical services or local pharmaceutical services which involve the provision of drugs, medicines or appliances by a chemist in accordance with a repeatable prescription;“repeatable prescriber” means a prescriber who is—engaged or employed by a contractor which provides repeatable prescribing services under the terms of its agreement which give effect to regulation 52; ora party to an agreement under which such services are provided;“repeatable prescribing services” means services which involve the prescribing of drugs, medicines or appliances on a repeatable prescription;“repeatable prescription” means—a form provided by NHS England, a local authority or the Secretary of State for the purpose of ordering a drug, medicine or appliance, which is in the format required by the NHS Business Services Authority , and which—is issued, or is to be issued, by a repeatable prescriber to enable a chemist or person providing dispensing services to receive payment for the provision of repeat dispensing services,indicates, or is to indicate, that the drug, medicine or appliance ordered may be provided more than once, andspecifies, or is to specify, the number of occasions on which the drug, medicine or appliance may be provided; orin the case of an electronic prescription to which regulation 50 applies, data created in an electronic form for the purpose of ordering a drug, medicine or appliance, which—is signed, or is to be signed, with a prescriber's advanced electronic signature,is transmitted, or is to be transmitted, as an electronic communication to a nominated dispenser or via an information hub by the Electronic Prescription Service, andindicates, or is to indicate, that the drug, medicine or appliance ordered may be provided more than once and specifies, or is to specify, the number of occasions on which the drug, medicine or appliance may be provided;“restricted availability appliance” means an appliance which is approved for particular categories of persons or particular purposes only;“Scheduled drug” means—a drug, medicine or other substance specified in any directions given by the Secretary of State under section 88 of the Act (GMS contracts: prescription of drugs etc) as being a drug, medicine or other substance which may not be ordered for patients in the provision of medical services under the agreement; orexcept where the conditions set out in regulation 54(3) are satisfied, a drug, medicine or other substance which is specified in any directions given by the Secretary of State under section 88 of the Act (GMS contracts: prescription of drugs etc) as being a drug, medicine or other substance which can only be ordered for specified patients and specified purposes; “signatory” means a natural person who creates an electronic signature;“supplementary prescriber” means a person—who is either engaged or employed by the contractor or is a party to the agreement;whose name is registered in—the Nursing and Midwifery Register,Part 1 of the register maintained under article 19 of the Pharmacy Order 2010 (establishment, maintenance of and access to the register),the register maintained under articles 6 (the Register) and article 9 (the Registrar) of the Pharmacy (Northern Ireland) Order 1976 , the register maintained by the Health and Care Professions Council under article 5 of the Health Professions Order 2001 (establishment and maintenance of register) relating to—chiropodists and podiatrists,dieticians,paramedics,physiotherapists, orradiographers, or the register of optometrists maintained by the General Optical Council under section 7(a) of the Opticians Act 1989 (register of opticians); andagainst whose name is recorded in the relevant register an annotation or entry signifying that that person is qualified to order drugs, medicines and appliances as a supplementary prescriber or, in the case of the Nursing and Midwifery Register, a nurse independent/supplementary prescriber;“ temporary resident ” means a person—accepted by the contractor as a temporary resident under paragraph 19, 31E or 31G of Schedule 2, andfor whom the contractor’s responsibility has not terminated under paragraph 19, 31E or 31G (as the case may be) of Schedule 3. “therapeutic radiographer independent prescriber” means a radiographer—who is registered in Part 11 of the register maintained under article 5 of the Health Professions Order 2001; andagainst whose name in that register is recorded—an entitlement to use the title “therapeutic radiographer”, andan annotation signifying that the radiographer is qualified to order drugs, medicines and appliances as a therapeutic radiographer independent prescriber; “working day” means any day except Saturday, Sunday, Christmas Day, Good Friday or a bank holiday; and“writing”, except in paragraph 52(1) of Schedule 2, includes electronic mail and “written” is to be construed accordingly.3A1In these Regulations, “core hours” means the period beginning at 8.00am and ending at 6.30pm on any day from Monday to Friday in circumstances where, in order to assist in the management of a serious or potentially serious risk to human health arising as a consequence of a disease being, or in anticipation of a disease being imminently—apandemic; andba serious risk or potentially a serious risk to human health,NHS England with the agreement of the Secretary of State has made an announcement to the effect that the core hours of contractors in the area specified in the announcement are to include Good Friday and bank holidays in the circumstances specified, and for the duration of the period specified, in the announcement.2In these Regulations, in the circumstances described in paragraph (1), “out of hours period means—athe period beginning at 6.30pm on any day from Monday to Friday and ending at 8.00am on the following day; andbthe period beginning at 6.30pm on Friday and ending at 8.00am on the following Monday.3BIn these Regulations, where reference is made to an announcement or advice of NHS England that relates to a disease being, or in anticipation of a disease being imminently—apandemic; andba serious risk or potentially serious risk to human health,it is to that announcement or advice, which may be withdrawn at any time, as amended from time to time.PART 241NHS England may only enter into an agreement if the conditions specified in regulation 5 are met.2Paragraph (1) is subject to the provisions of any scheme made by the Secretary of State under section 300 (transfer schemes) (before its repeal), section 302 (transfer schemes in respect of previously transferred property) and section 303 (power to make consequential provision) of the Health and Social Care Act 2012 .51NHS England must not enter into an agreement with—aa person falling within section 93(1)(b) to (d) of the Act (persons with whom agreements may be made under section 92), to whom paragraph (2) applies;ba qualifying body if paragraph (2) applies to—ithe qualifying body,iiany person both legally and beneficially owning a share in the qualifying body, andiiiany director or secretary of the qualifying body.2This paragraph applies if—athe contractor is the subject of a national disqualification;bsubject to paragraph (3), the contractor is disqualified or suspended (other than by interim suspension order or direction pending an investigation) from practising by a licensing body anywhere in the world;cthe contractor has, within the period of five years before the signing of the agreement or commencement of the agreement (whichever is the earlier) been dismissed (otherwise than by reason of redundancy) from any employment with a health service body, unless—iif the contractor was employed as a member of a health care profession at the time of the dismissal, the contractor has not subsequently been employed by that health service body or by another health service body, andiithe dismissal was the subject of a finding of unfair dismissal by any competent tribunal or a court;dthe contractor has, within the period of five years before the signing of the agreement or commencement of the agreement (whichever is the earlier), been removed from, or refused admission to, a primary care list by reason of inefficiency, fraud or unsuitability (within the meaning of section 151(2), (3) and (4) of the Act (disqualification of practitioners)), or a performers list held by NHS England by virtue of regulations made under section 91(3) (persons performing primary medical services) of the Act, unless the contractor's name has subsequently been included in such a list;ethe contractor has been convicted in the United Kingdom of murder;fthe contractor has been convicted in the United Kingdom of a criminal offence other than murder committed on or after 1st April 2002 and has been sentenced to a term of imprisonment of longer than six months;gsubject to paragraph (3), the contractor has been convicted outside of the United Kingdom of an offence which would, if committed in England and Wales, constitute murder and—ithe offence was committed on or after 3rd November 2003; andiithe contractor was sentenced to a term of imprisonment of longer than six months;hthe contractor has been convicted of an offence referred to in Schedule 1 to the Children and Young Persons Act 1933 (offences against children and young persons, with respect to which special provisions of this Act apply), or in Schedule 1 to the Criminal Procedure (Scotland) Act 1995 (offences against children under the age of 17 years to which special provisions apply) committed on or after 1st April 2004;ithe contractor has at any time been included in—iany barred list within the meaning of section 2 of the Safeguarding Vulnerable Groups Act 2006 (barred lists), oriiany barred list within the meaning of article 6 of the Safeguarding Vulnerable Groups (Northern Ireland) Order 2007 (barred lists),unless the contractor was removed from the list either on the grounds that it was not appropriate for the contractor to have been included in it or as the result of a successful appeal;jthe contractor has, within the period of five years before the signing of the agreement or commencement of the agreement (whichever is the earlier), been removed from the office of charity trustee or trustee for a charity by an order made by the Charity Commission, the Charity Commission for Northern Ireland or the High Court, and that order was made on the grounds of misconduct or mismanagement in the administration of a charity for which the contractor was responsible or to which the contractor was privy, or which was contributed to, or facilitated by, the contractor's conduct;kthe contractor has, within the period of five years before the signing of the agreement or commencement of the agreement (whichever is the earlier), been removed from being concerned with the management or control of any body in any case where removal was by virtue of section 34(5)(e) of the Charities and Trustees Investment (Scotland) Act 2005 (powers of Court of Session);lthe contractor—ihas been made bankrupt and has not been discharged from the bankruptcy or the bankruptcy order has not been annulled, oriihas had sequestration of the contractor's estate awarded and has not been discharged from the sequestration;mthe contractor is the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order under Schedule 4A to the Insolvency Act 1986 (bankruptcy restrictions order and undertaking), or Schedule 2A to the Insolvency (Northern Ireland) Order 1989 (bankruptcy restrictions order and undertaking), or sections 56A to 56K of the Bankruptcy (Scotland) Act 1985 (bankruptcy restrictions order, interim bankruptcy restrictions order and bankruptcy restrictions undertaking), unless the contractor has been discharged from that order or that order has been annulled;nthe contractor—iis subject to a moratorium period under a debt relief order under Part VIIA of the Insolvency Act 1986 (debt relief orders), oriiis the subject of a debt relief restrictions order or an interim debt relief restrictions order under Schedule 4ZB to that Act (debt relief restrictions orders and undertakings);othe contractor has made a composition agreement or arrangement with, or granted a trust deed for, the contractor's creditors and the contractor has not been discharged in respect of it;pthe contractor is subject to—ia disqualification order under section 1 of the Company Directors Disqualification Act 1986 (disqualification orders: general) or a disqualification undertaking under section 1A of that Act (disqualification undertakings: general),iia disqualification order or disqualification undertaking under article 3 (disqualification orders: general) or article 4 (disqualification undertakings: general) of the Company Directors Disqualification (Northern Ireland) Order 2002 , oriiia disqualification order under section 429(2) of the Insolvency Act 1986 (disabilities on revocation of an administration order against an individual);qthe contractor has had an administrator, administrative receiver or receiver appointed in respect of the contractor; orrthe contractor has had an administration order made in respect of the contractor under Schedule B1 to the Insolvency Act 1986 (administration).3Paragraph (2)(b) or, as the case may be, paragraph (2)(g), does not apply to a person where—athat person—ihas been disqualified or suspended from practising by a licensing body outside of the United Kingdom, oriihas been convicted outside of the United Kingdom of a criminal offence; andbNHS England is satisfied that the disqualification, suspension or, as the case may be, the conviction does not make the person unsuitable to be—ia party to the agreement; oriiin the case of an agreement with a qualifying body—aaa person who both legally and beneficially owns a share in the qualifying body, orbba director or secretary of the qualifying body.4For the purposes of paragraph (2)(c)—awhere a person has been employed as a member of a health care profession, any subsequent employment must also be as a member of that profession; andba health service body includes a Strategic Health Authority or a Primary Care Trust which was established before the coming into force of section 33 (abolition of Strategic Health Authorities) or section 34 (abolition of Primary Care Trusts) of the Health and Social Care Act 2012 .5In this regulation, “contractor” includes a person with whom NHS England is proposing to enter into an agreement.61Where NHS England considers that the conditions in regulation 5 for entering into an agreement are not met, it must give notice in writing to the person or persons intending to enter into the agreement of—aits view and the reasons for that view; andbthe right of appeal under regulation 7.2NHS England must give notice in writing of its view and the reasons for that view to any person who both legally and beneficially owns a share in, or who is a director or secretary of, a qualifying body that is given notice under paragraph (1) in any case where its reason for the decision relates to such a person.7A person who has been given a notice by NHS England under regulation 6(1) may appeal to the First-tier Tribunal against the decision of NHS England that the conditions in regulation 5 are not met.PART 381If, in the course of negotiations intending to lead to an agreement, the parties to the proposed agreement (“the prospective parties”) are unable to agree on a particular term of the agreement, either party may refer the dispute to the Secretary of State to consider and determine.2Where the prospective parties are health service bodies, any dispute which arises in the course of the negotiation of the proposed agreement may be referred to the Secretary of State for determination under section 9 of the Act (NHS contracts).3Any dispute referred to the Secretary of State in accordance with paragraph (1), or to which section 9 of the Act applies by virtue of paragraph (2), must be considered and determined in accordance with the provisions of regulations 76(3) to (14) and 77(1) and, where it applies, paragraph (4) of this regulation.4Where a dispute is referred to the Secretary of State under paragraph (1), the determination—amay specify terms to be included in the proposed agreement;bmay require NHS England to proceed with the proposed agreement, but may not require the intended contractor to proceed with the proposed agreement; andcis binding upon the prospective parties.PART 491A contractor is to be regarded as a health service body for the purposes of section 9 of the Act (NHS contracts) from the date on which it enters into an agreement unless, in the case of—aan agreement with a contractor who is an individual or which is a qualifying body, that individual or qualifying body; orbany other agreement, any of the proposed parties to the agreement (other than NHS England),objects by giving notice in writing to NHS England at any time prior to the agreement being made.2If, by virtue of paragraph (1), a contractor is to be regarded as a health service body, any change in the parties comprising the contractor does not affect the status of the contractor as a health service body.3If, by virtue of paragraph (1) or regulation 10, a contractor is to be regarded as a health service body, the nature of, or any rights or liabilities under, any other agreement or contract previously entered into by the contractor with a health service body remain unaffected.101A contractor may at any time request in writing a variation of the agreement to include in, or remove from, the agreement provision to the effect that the agreement is an NHS contract and, if it does so—aNHS England must agree to the variation; andbthe procedure specified in regulation 24 and Part 8 of Schedule 2 for the variation of agreements applies.2If, by virtue of a request under paragraph (1), the agreement is varied so as to remove provision from it to the effect that it is an NHS contract, the contractor is, subject to regulation 11, to cease to be regarded as a health service body for the purposes of section 9 of the Act from the date on which that variation takes effect.3If, by virtue of a request under paragraph (1), the agreement is varied so as to include provision in it to the effect that it is an NHS contract, the contractor is to be regarded as a health service body for the purposes of section 9 of the Act from the date on which that variation takes effect.4Where NHS England agrees to the variation of the agreement, the contractor is to be regarded, or, subject to regulation 11, is to cease to be regarded as a health service body for the purposes of section 9 of the Act (NHS contracts) from the date on which the variation takes effect by virtue of paragraph 52(1) of Schedule 2.111A contractor ceases to be regarded as a health service body for the purposes of section 9 of the Act (NHS contracts) if the agreement terminates.2Where, by virtue of paragraph (1), a contractor ceases to be regarded as a health service body in relation to an agreement (“the relevant agreement”), the contractor is to—acontinue to be regarded as a health service body for the purposes of any other NHS contract to which it became a party between the date on which it entered the relevant agreement and the date on which it ceased to be regarded as a health service body for the purposes of that agreement; butbcease to be regarded as a health service body for these purposes upon the termination of any such other NHS contracts.3Where—aa contractor ceases to be regarded as a health service body in relation to an agreement by reason of a variation of the agreement by virtue of regulation 10(1); andbthe contractor or NHS England—ihas referred any matter to the NHS dispute resolution procedure before the contractor ceases to be regarded as a health service body, oriirefers any matter to the NHS dispute resolution procedure, in accordance with regulation 76, after the contractor ceases to be regarded as a health service body,the contractor is to continue to be regarded as a health service body (and accordingly the agreement is to continue to be regarded as an NHS contract) for the purposes of the consideration and determination of the dispute.4Where a contractor ceases to be regarded as a health service body by virtue of regulation 10(1) but the contractor continues to be regarded as a health service body for the purposes of the NHS dispute resolution procedure where that procedure was commenced—abefore the termination of the agreement; orbafter the termination of the agreement (whether in connection with or arising out of the termination of the agreement or otherwise),the contractor ceases to be regarded as such a body on the conclusion of that procedure.PART 512If, by virtue of regulation 9 or 10 the contractor is to be regarded as a health service body, the agreement must state that it is an NHS contract.131An agreement must specify—athe services to be provided under the agreement;bsubject to paragraph (3), the address of each of the premises to be used by the contractor or by any sub-contractor for the provision of such services;cthe persons to whom such services are to be provided under the agreement; anddwhere the agreement requires the contractor to provide essential services, the area as respects which persons resident in it are, subject to any other terms of the agreement relating to patient registration, entitled to—iregister with the contractor, oriiseek acceptance by the contractor as a temporary resident; andewhere the agreement requires the contractor to provide essential services, whether, at the date on which the agreement comes into effect, the contractor's list of patients is open or closed.2An agreement—amay also specify an area, other than the contractor's practice area, which is to be known as the outer boundary area as respects which a patient who—imoves into that outer boundary area to reside, andiiwould like to remain on the contractor's list of patients,may remain on that list if the contractor so agrees, notwithstanding that the patient no longer resides in the contractor's practice area; andbwhich specifies an outer boundary must specify that, where a patient remains on the contractor's list of patients as a consequence of sub-paragraph (a), the outer boundary area is to be treated as part of the contractor's practice area for the purposes of the application of any other terms and conditions of the agreement in respect of that patient.3The premises referred to in paragraph (1)(b) do not include—athe homes of patients; ...bany other premises where services are provided on an emergency basis ; orcpremises where services are provided under regulation 13A (services: remote provision outside practice premises).4An agreement must specify that where the contractor proposes to provide private services in addition to primary medical services, to persons other than its patients the provision must take place—aoutside of the hours the contractor has agreed to provide primary medical services; andbon no part of any practice premises in respect of which NHS England has agreed with that contractor to make payments in relation to the costs of those premises save where the private services are those specified in regulation 18(2B).13A1Without prejudice to regulation 17(7) (essential services) of the General Medical Services Contracts Regulations, where applicable, and without prejudice to paragraph 6 of Schedule 2 (attendance outside practice premises), the contractor and any sub-contractor may provide a remote service from a location which does not constitute practice premises, if the requirements in paragraph (2) are met.2The requirements referred to in paragraph (1) are that—athe service is provided from an appropriate location;bthe service is provided through an appropriate digital or telecommunications method; andcthe service is appropriate for provision outside of practice premises.3For the purposes of paragraph (2)(a), a location is not appropriate if—athe location or its environment is not conducive to ensuring the confidentiality of patient information, in connection with the service to be provided from that location;bthe location or its environment is not conducive to ensuring appropriate provision of the service from that location.4For the purposes of paragraph (2)(b), a digital or telecommunications method is appropriate if it meets—athe requirements in the GPIT Operating Model relevant to that method, including any requirements as to software, orbrequirements which are equivalent in their effect to the relevant requirements in the GPIT Operating Model;5For the purposes of paragraph (2)(c) the service is not appropriate for provision outside of practice premises if—ait would not be clinically appropriate for the patient on that occasion; orbit is otherwise not appropriate to the needs or circumstances of the patient.6For the purposes of paragraph (3)(a), “patient information” means information which relates to the physical or mental health or condition of a patient, to the diagnosis of their condition, to their care and treatment, or information which is to any extent derived, directly or indirectly, from such information.14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151Subject to paragraphs (2) and (3), an agreement which requires a contractor to provide essential services must contain a term which has the effect of requiring the contractor to issue any medical certificate of a description prescribed in column 1 of Schedule 1 under, or for the purposes of, the enactments specified in relation to the certificate in column 2 of that Schedule if that certificate is reasonably required under or for the purposes of the enactments specified in relation to that certificate.2A certificate referred to in paragraph (1) must be issued free of charge to a patient or to a patient's personal representatives.3A certificate must not be issued where, for the condition to which the certificate relates, the patient is—abeing attended by a medical practitioner who is not—iengaged or employed by the contractor,iia party to the agreement, oriiia shareholder in a qualifying body which is a party to the agreement; orbnot being treated by or under the supervision of a health care professional.4The exception in paragraph (3)(a) does not apply where the certificate is issued in accordance with regulation 2(1) of the Social Security (Medical Evidence) Regulations 1976 (evidence of incapacity for work, limited capability for work and confinement) or regulation 2(1) of the Statutory Sick Pay (Medical Evidence) Regulations 1985 (medical information).15A1Subject to paragraph (6), a contract must contain a term which requires the contractor to respond to a valid exemption confirmation request if it is made at a relevant time.2An exemption confirmation request—ais a request to confirm whether a relevant patient (“P”), for clinical reasons—ishould neither be tested for coronavirus nor vaccinated with an authorised vaccine, oriishould not be vaccinated with an authorised vaccine, andbis valid if it is made in accordance with the process approved by the Secretary of State.2AA valid exemption confirmation request is made at a relevant time if, at the time the request is made to the contractor—alegislation in force in England requires a person or class of person to be vaccinated against coronavirus unless they can show that, for clinical reasons, they are exempt from vaccination with an authorised vaccine, orbguidance issued by, or on behalf of, the Secretary of State provides that a person or class of person should be vaccinated against coronavirus unless they can show that, for clinical reasons, they are exempt from vaccination with an authorised vaccine.3An exemption confirmation request may be made by—aP, orbwhere P is a person to whom paragraph (4) applies, an appropriate person acting on behalf of P.4This paragraph applies to a person if they—aare a child, orblack the capacity to make a request under paragraph (1).5The contractor must respond to a valid exemption confirmation request made at a relevant time—afree of charge to P or the appropriate person, andbby recording its response on an information hub using a method approved by the Secretary of State.6A contractor is not required to respond to a valid exemption confirmation request if—afor the medical condition which may mean that P should neither be tested for coronavirus nor vaccinated with an authorised vaccine, or should not be vaccinated with an authorised vaccine, P is being attended by a medical practitioner who is not—iengaged or employed by the contractor,iiin the case of a contract with two or more persons practising in partnership, one of those persons, oriiiin the case of a contract with a company limited by shares, one of the persons legally or beneficially owning shares in that company, andbthat medical condition is not one to which paragraph (7) applies.7This paragraph applies to a medical condition if no person with that condition should be—atested for coronavirus or vaccinated with an authorised vaccine, orbvaccinated with an authorised vaccine.8In this regulation—“authorised vaccine” means a medicinal product—authorised for supply in the United Kingdom in accordance with a marketing authorisation, orauthorised by the licensing authority on a temporary basis under regulation 174 of the Human Medicines Regulations 2012 (supply in response to spread of pathogenic agents etc),for vaccination against coronavirus;“coronavirus” means severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2);“licensing authority”, “marketing authorisation” and “medicinal product” have the meanings given in the Human Medicines Regulations 2012 (see regulations 6, 8 and 2, respectively, of those Regulations);“relevant patient” means—a registered patient, ora temporary resident.161The agreement must contain a term which has the effect of requiring payments to be made under the agreement promptly and in accordance with—athe terms of the agreement;bany other terms based on which the payment is made; andcany other conditions relating to the payment contained in regulations made by the Secretary of State under section 94(4) (regulations about section 92 arrangements) or directions given by the Secretary of State under section 98A (exercise of functions) of the Act .2The obligation referred to in paragraph (1) is subject to any right that NHS England may have to set off against any amount payable to the contractor under the agreement any amount that—ais owed by the contractor to NHS England under the agreement; orbNHS England may withhold from the contractor in accordance with the terms of the agreement or any other applicable provisions contained in regulations made by the Secretary of State under section 94(4) of the Act (regulations about section 92 arrangements) or directions given by the Secretary of State under section 98A of the Act (exercise of functions).17Where, as a consequence of regulations made under section 94(4) of the Act (regulations about section 92 arrangements) or in accordance with directions given by the Secretary of State under section 98A of the Act (exercise of functions), NHS England is required to make a payment to a contractor under an agreement which is subject to conditions, the agreement must contain a term which requires those conditions to be a term of the agreement.181The agreement must contain terms relating to fees and charges which have the same effect as those set out in paragraphs (2) to (4).2The contractor may not, either itself or through any other person, demand or accept from any patient of the contractor a fee or other remuneration, for its own or another's benefit, for—athe provision of any treatment whether under the agreement or otherwise; orba prescription or repeatable prescription for any drug, medicine or appliance,except in circumstances set out in regulation 19.2AThe contractor must not, either itself or through any other person, demand or accept from any of its patients a fee or other remuneration for its own benefit or for the benefit of another person, for the completion, in relation to the patient’s mental health, of—aa mental health evidence form; orbany examination of the patient or of the patient’s medical record in order to complete the form,the purpose of which is to assist creditors in deciding what action to take where the debtor has a mental health problem.2BThe contractor must not, either itself or through any other person, demand or accept from anyone who is not a patient of the contractor, a fee or other remuneration for its own benefit or for the benefit of another person, for either of the following services provided on practice premises to which regulation 13(4)(b) applies, unless those services are provided outside of core hours—afor treatment consisting of an immunisation for which the contractor receives no remuneration from NHS England when provided to its patients and which is requested in connection with travel abroad; orbfor prescribing or providing drugs or medicines for malaria chemoprophylaxis.3Subject to paragraph (4), where—aa person applies to a contractor for the provision of services;bclaims to be entitled to be treated by the contractor without paying a fee or other remuneration; andcthe contractor has reasonable doubts about that person's claim,the contractor must give any necessary treatment to that person and may demand and accept from that person a reasonable fee accordingly in accordance with regulation 19(e).4Where—aa person from whom a contractor received a fee under regulation 19(e) applies to NHS England for a refund within 14 days from the date of payment of the fee (or within such longer period not exceeding one month as NHS England may allow if it is satisfied that the failure to apply within 14 days was reasonable); andbNHS England is satisfied that the person was entitled to be treated by the contractor without paying a fee or other remuneration when the treatment was given,NHS England may recover the amount of the fee from the contractor, by deduction from the contractor's remuneration or otherwise, and must pay the amount recovered to the person who paid the fee.19The contractor may demand or accept, directly or indirectly, a fee or other remuneration—afrom a statutory body for services rendered for the purposes of that body's statutory functions;bfrom a body, employer or school for—ia routine medical examination of persons for whose welfare the body, employer or school is responsible, oriian examination of such persons for the purpose of advising the body, employer or school of any administrative action that they might take;cfor treatment which is not primary medical services or is otherwise required to be provided under the agreement and which is given—iat accommodation made available in accordance with the provisions of paragraph 11 of Schedule 6 to the Act (accommodation and services for private patients), oriiin a registered nursing home which is not providing services under the Act,if, in either case, the person administering the treatment is serving on the staff of a hospital providing services under the Act as a specialist providing treatment of the kind the patient requires and if, within seven days of giving the treatment, the contractor or the person giving the treatment supplies NHS England, on a form provided by it for that purpose, with such information about the treatment as NHS England may require;dunder section 158 of the Road Traffic Act (payment for emergency treatment of traffic casualties);ewhen the contractor treats a patient under regulation 18(3), in which case the contractor is entitled to demand and accept a reasonable fee (recoverable in certain circumstances under regulation 18(4)) for any treatment given, if it gives the patient a receipt;ffor attending and examining (but not otherwise treating) a patient—iat a police station, at the patient's request, in connection with possible criminal proceedings against the patient,iifor the purpose of creating a medical report or certificate, at the request of a commercial, educational or not for profit organisation, oriiifor the purpose of creating a medical report required in connection with an actual or potential claim for compensation by the patient;gfor treatment consisting of an immunisation for which no remuneration is payable by NHS England and which is requested in connection with travel abroad;hfor prescribing or providing drugs, medicines or appliances (including a collection of drugs, medicines or appliances in the form of a travel kit) which are required to be in the possession of a patient solely in anticipation of the onset of an ailment or occurrence of an injury while the patient is outside the United Kingdom but for which the patient is not requiring treatment when the medicine is prescribed;ifor a medical examination—ito enable a decision to be made whether or not it is inadvisable on medical grounds for a person to wear a seat belt, oriifor the purpose of creating a report—aarelating to a road traffic accident or criminal assault, orbbthat offers an opinion as to whether a patient is fit to travel;jfor testing the sight of a person to whom none of paragraphs (a) to (e) of section 115(2) of the Act (primary ophthalmic services) applies (including by virtue of regulations made under section 115(7) of the Act );kwhere the contractor is authorised or required in accordance with arrangements made with NHS England under section 126 of the Act (arrangements for pharmaceutical services) and in accordance with regulations made under section 129 of the Act (regulations as to pharmaceutical services) to provide drugs, medicines or appliances to a patient and provides for that patient, otherwise than by way of dispensing services, any Scheduled drug; ...lfor prescribing or providing drugs or medicines for malaria chemoprophylaxis;mfor responding to an exemption confirmation request as defined in regulation 15A(2)(a), if that request is not one which the contractor is required to respond to in accordance with regulation 15A.201A contractor which provides essential services must establish and maintain a group known as a “Patient Participation Group” comprising some of its registered patients for the purposes of—aobtaining the views of patients who have attended the contractor's practice about the services delivered by the contractor; andbenabling the contractor to obtain feedback from its registered patients about those services.2The contractor is not required to establish a Patient Participation Group if such a group has already been established by the contractor in accordance with the provisions of any directions about enhanced services which were given by the Secretary of State under section 98A of the Act (exercise of functions) before 1st April 2015.3The contractor must make reasonable efforts during each financial year to review the membership of its Patient Participation Group in order to ensure that the group is representative of its registered patients.4The contractor must—aengage with its Patient Participation Group, at such frequent intervals throughout each financial year as the contractor must agree with that group, with a view to obtaining feedback from the contractor's registered patients, in an appropriate and accessible manner, about the services delivered by the contractor; andbreview any feedback received about the services delivered by the contractor, whether in accordance with sub-paragraph (a) or otherwise, with its Patient Participation Group with a view to agreeing with that group the improvements (if any) which are to be made to those services.5The contractor must make reasonable efforts to implement such improvements to the services delivered by the contractor as are agreed between the contractor and its Patient Participation Group.211The contractor must publish each year on its practice website or online practice profile the information specified in paragraph (2).2The information specified in this paragraph is—athe mean net earnings in respect of the previous financial year of—ievery general medical practitioner who was a party to the agreement for a period of at least six months during that financial year, andiievery general medical practitioner who was employed or engaged by the contractor to provide services under the agreement in the contractor's practice, whether on a full-time or a part-time basis, for a period of at least six months during that financial year; andbthe—itotal number of any general medical practitioners to whom the earnings information referred to in sub-paragraph (a) relates, andii(where applicable) the number of those practitioners who have been employed or engaged by the contractor to provide services under the agreement in the contractor's practice on a full-time or a part-time basis and for a period of at least six months during the financial year in respect of which that information relates.3The information specified in sub-paragraph (2) must be—apublished by the contractor before the end of the financial year following the financial year to which that information relates; andbmade available by the contractor in hard copy form on request.4For the purposes of this regulation, “mean net earnings” are to be calculated by reference to the earnings of a general medical practitioner that, in the opinion of NHS England, are attributable to the performance or provision by the practitioner under the agreement of medical services to which Part 4 of the Act applies, after having disregarded any expenses properly incurred in the course of performing or providing those services.21A1An agreement which is with a person falling within section 93(1)(b) to (e) of the Act must include the term specified in paragraph (2).2The term is a term which requires the contractor to comply with the disclosure obligation for each relevant financial year in which—athey are a contractor, andbtheir NHS earnings exceed the relevant threshold.3For the purposes of this regulation—athe disclosure obligation, in relation to a relevant financial year, is the requirement for an individual (“I”) to submit the following information for publication to NHS England by the disclosure date—iI’s name,iiI’s job title,iiithe details of each organisation from which I has derived NHS earnings in that financial year, andivthe amount of I’s NHS earnings for that financial year;b ... “relevant financial year” means a financial year ending—ion or after 31st March 2022, butiion or before 31st March 2024;ba. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .c“relevant threshold” means—i. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ii. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .iiifor the financial year ending on 31st March 2022, £156,000;ivfor the financial year ending on 31st March 2023, £159,000;vfor the financial year ending on 31st March 2024, £163,000.4For the purposes of paragraph (3)(a) “the disclosure date”, in relation to a relevant financial year, is 30th April in the financial year which begins immediately after the end of the next financial year.5For the purposes of paragraph (4) “the next financial year”, in relation to a financial year (“FY1”), is the financial year which begins immediately after the end of FY1 ....6An agreement must also include a term which prevents the contractor from sub-contracting any of its obligations to provide clinical services under the agreement unless—awhere the sub-contractor is an individual, the sub-contract entered into by the contractor requires the individual to comply with the disclosure obligation for each relevant financial year in which the individual’s NHS earnings exceed the relevant threshold;bwhere the sub-contractor is a partnership, the sub-contract entered into by the contractor requires each sub-contractor partnership member of that partnership to comply with the disclosure obligation for each relevant financial year in which the sub-contractor partnership member’s NHS earnings exceed the relevant financial threshold;cin all cases, the sub-contract prohibits the sub-contractor (“S”) from sub-contracting, where permitted by paragraph 43(4A) of Schedule 2, any of the clinical services S has agreed with the contractor to provide under the sub-contract unless—iwhere the sub-contractor is an individual (“I”), the sub-contract entered into by S requires I to comply with the disclosure obligation in relation to each financial year in which I’s NHS earnings exceed the relevant threshold;iiwhere the sub-contractor is a partnership, the sub-contract entered into by S requires each sub-contractor partnership member in that partnership to comply with the disclosure obligation in relation to each relevant financial year in which the sub-contractor partnership member’s NHS earnings exceed the relevant threshold.7An agreement must also include a term requiring the contractor to use reasonable endeavours to ensure that any relevant sub-contract is amended to contain the terms specified in paragraph (9).8For the purposes of paragraph (7) “relevant sub-contract” means a sub-contract—afor the provision of any of the clinical services which the contractor is required to provide under the agreement by any other person, andbwhich is in force at the time when the term in paragraph (7) is incorporated into the contract.9The terms are—aa term which requires—ithe subcontractor (“S”), where S is an individual, oriieach sub-contractor partnership member, where S is a partnership,to comply with the disclosure obligation for each relevant financial year in which the individual’s, or as the case may be, sub-contractor partnership member’s NHS earnings exceed the relevant threshold, ...ba term which prevents S from sub-contracting obligations to provide clinical services under the contract, where permitted by paragraph 43(4A) of Schedule 2, unless—iwhere the sub-contractor is an individual (“I”), the sub-contract entered into by S requires I to comply with the disclosure obligation in relation to each financial year in which I’s NHS earnings exceed the relevant threshold;iiwhere the sub-contractor is a partnership, the sub-contract entered into by S requires each sub-contractor partnership member to comply with the disclosure obligation in relation to each relevant financial year in which the sub-contractor partnership member’s NHS earnings exceed the relevant threshold , andca term which requires S to use reasonable endeavours to ensure that any sub-contract entered into before the term in sub-paragraph (b) was incorporated into that sub-contract is amended to—iinclude the term in paragraph (i) of sub-paragraph (b) in a sub-contract between S and I, andiiinclude the term in paragraph (ii) of sub-paragraph (b) in a sub-contract between S and a partnership.10Nothing in paragraph (6), (7) or (9) requires any individual to comply with the disclosure obligation for any relevant financial year which—aends before the individual or partnership (as the case may be) enters into a sub-contract with the contractor or a sub-contractor;bbegins after the individual’s or, as the case may be, partnership’s sub-contract with the contractor or sub-contractor has terminated.11In this regulation—“locum practitioner” has the meaning given in Schedule 15 to the National Health Service Pension Scheme Regulations 2015;“NHS earnings” has the meaning given in regulation 27B;“sub-contractor” means a person to whom any rights or duties under the contract in relation to clinical matters are, or have been, sub-contracted under paragraph 44(1) of Schedule 3, and includes an individual who is a locum practitioner;“sub-contractor partnership member”, in relation to a sub-contractor who is a partnership, means an individual who is a partner in that partnership.21AA1In this regulation—a“disclosure obligation”, “relevant financial year”, “relevant threshold”, “the disclosure date” and “sub-contractor” have the meanings given in regulation 21A;b“NHS earnings” has the meaning given in regulation 21B.2In this regulation and, where applicable, in regulation 21B—“contract of engagement” means a contract of employment or other agreement under which a jobholder is engaged;“jobholder” means—an individual employed by a relevant person;an individual engaged by a relevant person under a contract for services to provide services which enable the relevant person to fulfil its obligations under the agreement or sub-contract, as the case may be;an individual engaged by a third party to provide clinical services;where the relevant person is a company, a director or company secretary of that company;“relevant person” means—the contractor;a sub-contractor;a person to whom the sub-contractor has sub-contracted obligations as permitted by paragraph 43(4A) of Schedule 2 (“P”);“third party contract” means a contract or other agreement under which a relevant person is provided with a jobholder to provide clinical services under the agreement or sub-contract, as the case may be, and which is between—a contractor and a person other than a jobholder or sub-contractor,a sub-contractor and a person other than a jobholder, the contractor, or a person (“P”) to whom the sub-contractor has sub-contracted obligations as permitted by paragraph 43(4A) of Schedule 2, orP and a person other than a jobholder or sub-contractor;“third party” is to be construed in accordance with the definition of “third party contract”.3An agreement must contain a term which prevents the contractor from entering into a contract of engagement unless it requires the jobholder to comply with the disclosure obligation for each relevant financial year in which the jobholder’s NHS earnings exceed the relevant threshold.4An agreement must also contain a term which prevents the contractor from sub-contracting any of its obligations to provide clinical services under the agreement unless—athe sub-contract entered into by the contractor requires the sub-contractor (“S”) to—iinclude the term specified in paragraph (6) in any contract of engagement S enters into with a jobholder on or after entering into the sub-contract, andiiuse reasonable endeavours to include it in any contract of engagement which S has entered into prior to entering into the sub-contract; andbthe sub-contract prevents S from sub-contracting to P any of the clinical services S has agreed with the contractor to provide under the sub-contract unless the sub-contract S enters into with P includes the term specified in paragraph (5);5The term requires P to—ainclude the term specified in paragraph (6) in any contract of engagement which P enters into with a jobholder on or after entering into the sub-contract with S, andbto use reasonable endeavours to include it in any contract of engagement which P has entered into prior to entering into that sub-contract.6The term requires the jobholder to comply with the disclosure obligation for each relevant financial year in which the jobholder’s NHS earnings exceed the relevant threshold.7An agreement must also contain a term requiring the contractor to use reasonable endeavours to ensure that any contract of engagement, which the contractor entered into before the term in paragraph (3) is incorporated into the agreement, is amended to include the term specified in paragraph (6).8An agreement must also contain a term requiring the contractor to use reasonable endeavours to ensure that any sub-contract which the contractor entered into before the term in paragraph (4) is incorporated into the agreement is amended to include the terms specified in paragraph (9).9The terms are—aa term which requires S to—iinclude the term specified in paragraph (6) in any contract of engagement S enters into with a jobholder on or after the amendment of the sub-contract,iito use reasonable endeavours to include the term specified in paragraph (6) in any contract of engagement to which S is a party entered into before the amendment of the sub-contract, andiiiuse reasonable endeavours to include the term specified in paragraph (5) in any sub-contract which S has entered into with P before the amendment of the sub-contract pursuant to paragraph (8);ba term which prevents S from sub-contracting to P obligations to provide clinical services under the agreement unless the sub-contract entered into by S includes the term specified in paragraph (5).10An agreement must also contain a term requiring the contractor to use reasonable endeavours to include in a third party contract (whenever entered into) a term requiring the third party (“T”) —a to include the term specified in paragraph (6) in any contract of engagement which T enters into with a jobholder on or after entering into the contract with the contractor; bto use reasonable endeavours to include that term in any contract of engagement which T has entered into prior to entering into the contract with the contractor.11An agreement must also contain a term which prevents the contractor from sub-contracting any of its obligations to provide clinical services under the agreement, unless the sub-contract requires S to use reasonable endeavours to—ainclude in a third party contract (whenever entered into) a term requiring T —ito include the term specified in paragraph (6) in any contract of engagement which T enters into with a jobholder on or after entering into the contract with S;iito use reasonable endeavours to include that term in any contract of engagement which T has entered into prior to entering into the contract with S;binclude in any sub-contract between S and P a term requiring P to use reasonable endeavours to include in any third party contract (whenever entered into) the term specified in paragraph (12).12The term is one which requires T—ato include the term specified in paragraph (6) in any contract of engagement which T enters into with a jobholder on or after entering into the contract with P;bto use reasonable endeavours to include that term in any contract of engagement which T has entered into prior to entering into the contract with P.13Nothing in this regulation requires a jobholder to comply with the disclosure obligation for any relevant financial year which—aends before the jobholder enters into a contract of engagement;bbegins after the jobholder’s contract of engagement has terminated.21B1This regulation sets out how an individual’s NHS earnings are to be calculated for the purposes of regulations 21A and 21AA.2An individual’s NHS earnings for a relevant financial year are those earnings which constitute relevant income in respect of that financial year.3In this regulation “relevant income”—ain relation to an individual who is an active member of the Scheme and is a medical practitioner (other than a locum practitioner) or a non-GP provider, means income (including any form of remuneration and any salary, wages, fees, director’s remuneration or dividends) which is practitioner income as determined under Schedule 10 to the NHS Pension Scheme Regulations, as modified in accordance with paragraph (4), in respect of the financial year in question;bin relation to a person (“P”) who is an active member of the Scheme and a locum practitioner, means—iany income which is locum practitioner income as determined under paragraph 7 of Schedule 10 to the NHS Pension Scheme Regulations in respect of the financial year in question, andiiany other income (including any form of remuneration and salary, wages, fees, director’s remuneration or dividends) received by P in the financial year in question from any organisation which would have been treated as practitioner income under Schedule 10 to the NHS Pension Scheme Regulations, as modified in accordance with paragraph (4), if P had been a medical practitioner but not a locum practitioner;bain relation to a jobholder who does not fall within sub-paragraph (a) or (b), means—iany remuneration, salary, wages, fees, director’s remuneration or dividends received in respect of the financial year in question under the contract of engagement and any other contract of engagement under which the jobholder provides services in respect of a contract or an agreement for primary medical services made under section 92 or 83(2) of the Act, andiiany other income which would be treated as practitioner income under Schedule 10 to the NHS Pension Scheme Regulations as modified in accordance with paragraph 4 in respect of the financial year in question if the jobholder—aawere an active member of the scheme, andbba medical practitioner or non-GP provider;cin relation to any other person (“P”), means income (including any form of remuneration and any salary, wages, fees, director’s remuneration or dividends) received by P in the financial year in question from any organisation which would have been treated as practitioner income under Schedule 10 to the NHS Pension Scheme Regulations, as modified in accordance with paragraph (4), if P had been—ian active member of the Scheme, andiia medical practitioner or non-GP provider.4For the purposes of determining a person’s relevant income under paragraph (3)(a), (b)(ii) or (c), Schedule 10 to the NHS Pension Scheme Regulations applies as if the following provisions of that Schedule were omitted—aparagraph 2(1)(b) and the “and” immediately preceding it, and bparagraph 3, ...c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4AFor the purposes of this regulation, where a contractor has sub-contracted any obligations under the agreement, any payments made—aunder the sub-contract, orbunder any sub-contract which the sub-contractor has entered into with another person, as permitted by paragraph 43(4A) of Schedule 2,are to be treated as income derived from the agreement.5In this regulation—“the NHS Pension Scheme Regulations” means the National Health Service Pension Scheme Regulations 2015 and “active member”, “locum practitioner”, “medical practitioner”, “member” and “non-GP provider” have the meanings given for the purposes of those Regulations;“relevant financial year” has the meaning given in regulation 21A;“the Scheme” means the National Health Service Pension Scheme established by the NHS Pension Scheme Regulations.221Subject to paragraphs (2) and (3), an agreement under which essential services are to be provided must provide for the provision of out of hours services throughout the out of hours period unless—aNHS England has accepted in writing, prior to the signing of the agreement, a written request from the contractor that the agreement should not require the contractor to make such provision;bthe contractor has opted out of providing such services in the out of hours period in accordance with Part 6; orcthe agreement has been otherwise varied to exclude a requirement to make such provision.2Except to the extent that the agreement otherwise provides, a contractor whose agreement includes the provision of out of hours services is only required to provide such services if, in the contractor's reasonable opinion having regard to the patient's medical condition, it would not be reasonable in all the circumstances for the patient to wait to obtain such services.3Paragraph (4) applies to a contractor which—aprovides out of hours services to registered patients of another contractor or provider of essential services (or their equivalent); orbhas contracted to provide out of hours services to patients to whom it provides essential services.4The contractor must, in the provision of those services—ameet the quality requirements set out in the Integrated Urgent Care Key Performance Indicators published on 25th June 2018; andbcomply with any requests for information which it receives from, or on behalf of, NHS England about the provision by the contractor of out of hours services to its registered patients in such manner, and before the end of such period, as is specified in the request.5Where a contractor is a provider of essential services but is not required to provide out of hours services under the agreement or, under Part 6, has opted out of the provision of such services under the agreement, the contractor must—amonitor the quality of the out of hours services which are offered or provided to its registered patients having regard to the Integrated Urgent Care Key Performance Indicators referred to in sub-paragraph (4) and record, and act appropriately in relation to, any concerns arising;brecord any patient feedback received, including complaints; andcreport to NHS England, either at the request of NHS England or otherwise, any concerns arising about the quality of the out of hours services which are offered or provided to patients to its registered patients having regard to—iany patient feedback received, including any complaints; andiithe quality requirements set out in the Integrated Urgent Care Key Performance Indicators referred to in paragraph (4).23An agreement must contain terms which prevent a contractor from sub-contracting any of its obligations to provide clinical services under the agreement except in the circumstances provided for in Part 5 of Schedule 2.241Subject to paragraph (2), a variation of, or amendment to, the agreement may only be made in the circumstances provided for in Part 8 of Schedule 2.2Paragraph (1) does not prevent a variation of, or amendment to, an agreement in the circumstances provided for in—aregulation 25;bPart 6; andcparagraphs 43(3) and 52 of Schedule 2.24ASchedule 2A has effect in relation to the variation of an agreement in circumstances where the contractor wishes to perform or provide primary medical services under an integrated care provider contract as described in paragraph 3 of that Schedule.251A contractor may accept onto its list of patients a person who resides outside of the contractor's practice area in accordance with paragraph 17 of Schedule 2.2Subject to paragraphs (4) and (5), the terms of the contractor's agreement specified in paragraph (3) must be varied so as to require the contractor to provide to the person any services which the contractor is required to provide to its registered patients under the agreement as if the person resided within the contractor's practice area.3The terms of the agreement specified in this paragraph are—athe terms under which the contractor is to provide essential services and any other service;bthe terms under which the contactor is required to provide out of hours services to patients to whom it provides essential services; andcthe terms which give effect to the following provisions of Schedule 2 (other contractual terms)—iparagraph 1 (services to registered patients),iiparagraph 5(1) (attendance at practice premises),iiiparagraph 6(2)(a) (attendance outside practice premises) , andivparagraph 20(2) (refusal of applications for inclusion list of patients).4Where, under paragraph (1), a contractor accepts onto its list of patients a person who resides outside of the contractor's practice area and the contractor subsequently considers that it is not clinically appropriate or practical to continue to provide that patient with services in accordance with the terms specified in paragraph (3), or to comply with those terms, the agreement must be varied so as to include a term which has the effect of modifying the application of paragraph 23 of Schedule 2 (which relates to the removal of a patient from the list at the contractor's request) in relation to that patient so that—ain sub-paragraph (1), the reference to the patient's disability or medical condition is removed; andbsub-paragraph (4) applies as if, after paragraph (a), there were inserted the following paragraph—aathe reason for the removal is that the contractor considers that it is not clinically appropriate or practical to continue to provide services under the agreement to the patient which do not include the provision of such services at the patient's home address,.5Where the contractor is required to provide services to a patient in accordance with arrangements made under paragraph (1), the agreement must also be varied so as to include terms which have the effect of releasing the contractor and NHS England from all obligations, rights and liabilities relating to the terms specified in paragraph (3) (including any right to enforce those terms) where, in the opinion of the contractor, it is not clinically appropriate or practical under those arrangements to—aprovide services in accordance with those terms; orbcomply with those terms.6The agreement must also include a term which has the effect of requiring the contractor to notify a person in writing, where the contractor is minded to accept that person on its list of patients in accordance with arrangements made under paragraph (1), that the contractor is under no obligation to provide—aessential services, and any other service in core hours, if, at the time the treatment is required, it is not clinically appropriate of practical to provide primary medical services given the particular circumstances of the patient; orbout of hours services if, at the time treatment is required, it is not clinically appropriate or practical to provide such services given the particular circumstances of the patient.261An agreement may only be terminated in the circumstances provided for by Part 8 of Schedule 2.2An agreement must make suitable provision for arrangements which are to have effect on termination of the agreement, including the consequences (whether financial or otherwise) of the agreement ending.271Subject to paragraph (2), an agreement must also contain provisions which are equivalent in their effect to the provisions set out in Parts 6 to 14 of, and Schedules 1 and 2 to, these Regulations, unless the agreement is of a type or nature to which a particular provision does not apply.2The requirement in paragraph (1) does not apply to the provisions specified in—aregulation 76(5) to (14);bregulation 77; andcparagraph 40(5) to (9) and 41(5) to (17) of Schedule 2,which are to have effect in relation to the matters set out in those provisions.27A1Any term that is part of an agreement as a consequence of action taken under this Part, by agreement between the parties or by virtue of regulation 47(2) of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (terms of service of dispensing doctors: general) is temporarily not part of that agreement, in the particular circumstances mentioned in sub-paragraph (c)(ii) and during the period mentioned in sub-paragraph (c)(iii), in the following circumstances—aas a consequence of a disease being, or in anticipation of a disease being imminently—ipandemic, andiia serious risk or potentially a serious risk to human health,NHS England with the agreement of the Secretary of State has made an announcement in respect of the prioritisation of services to be provided in, or in any part of, England as part of the health service;bthe prioritisation is in order to assist in the management of the serious risk or potentially serious risk to human health;cas part of the announcement, NHS England with the agreement of the Secretary of State has issued advice to the effect that contractors are not to comply with a specified type of term of personal medical services agreements—iin the area to which the announcement relates,iiin the circumstances specified in the announcement, andiiiduring the period specified in the announcement; anddthe contractor is situated in the area to which the announcement relates and compliance with the term (it being of the specified type) would, but for the effect of this paragraph, be a requirement of the contractor’s agreement.2NHS England must not take enforcement action, as provided for in an agreement, in respect of a breach of a term of the agreement in the following circumstances—aas a consequence of a disease being, or in anticipation of a disease being imminently—ipandemic, andiia serious risk or potentially a serious risk to human health,NHS England with the agreement of the Secretary of State has made an announcement in respect of the prioritisation of services to be provided in, or in any part of, England as part of the health service;bthe prioritisation is in order to assist in the management of the serious risk or potentially serious risk to human health;cas part of the announcement, NHS England with the agreement of the Secretary of State has issued advice to the effect that contractors need not comply with a specified type of term of personal medical services agreements—iin the area to which the announcement relatesiiin the circumstances specified in the announcement, andiiiduring the period specified in the announcement; anddthe contractor—iis situated in the area to which the announcement relates, andiihas not complied with the term (it being of the specified type) in the particular circumstances mentioned in sub-paragraph (c)(ii) and during the period mentioned in sub-paragraph (c)(iii).PART 628In this Part—“out of hours opt out notice” means a notice given under regulation 30(1) to opt out permanently of the provision of out of hours services;“OOH day” is the day specified by the contractor in the out of hours opt out notice which the contractor gives to NHS England for the commencement of the out of hours opt out;“B day” is the day six months after the date on which the out of hours opt out notice was given; and“C day” is the day nine months after the date on which the out of hours opt out notice was given.29Where—aan agreement requires the contractor to provide out of hours services in accordance with regulation 22; andbthe contractor has contracted to provide out of hours services only to patients to which it is required to provide essential services under the agreement,the agreement must contain terms relating to the procedure for opting out of the provision of those services which have the same effect as those specified in the following provisions of this Part.301Where a contractor wants to terminate its obligation under the agreement to provide out of hours services, the contractor must give an out of hours opt out notice in writing to NHS England to that effect.2An out of hours opt out notice must specify the OOH day, which must be either three or six months after the date on which that notice was given.3NHS England must approve the out of hours opt out notice and specify, in accordance with paragraph (5), the OOH day as soon as is reasonably practicable and, in any event, before the end of the period of 28 days beginning with the date on which NHS England receives the out of hours opt out notice.4NHS England must give notice to the contractor in writing of its decision as soon as possible.5A contractor may not withdraw an out of hours opt out notice once it has been approved by NHS England under paragraph (3) without NHS England’s agreement.6Following receipt of the out of hours opt out notice, NHS England must use reasonable endeavours to make arrangements for the contractor's registered patients to receive the out of hours services from an alternative provider from OOH day.7The contractor's duty to provide the out of hours services terminates on OOH day unless NHS England gives notice in writing to the contractor under paragraph (7) (extending OOH day to B day or C day).8If NHS England is not successful in finding an alternative provider to take on the provision of the out of hours services from OOH day, NHS England must give notice in writing to the contractor of this fact no later than one month before OOH day, and—ain a case where OOH day is three months after service of the opt out notice, the contractor must continue to provide the out of hours services until B day unless, at least one month before B day, it receives a notice in writing from NHS England under paragraph (8) that, despite using reasonable endeavours, it has failed to find an alternative provider to take on the provision of the out of hours services from B day;bin a case where OOH day is six months after the date on which the opt out notice was served, the contractor must continue to provide the out of hours services until C day.9Where, in accordance with paragraph (9)(a), the opt out is to commence on B day and NHS England, despite using reasonable endeavours, has failed to find an alternative provider to take on the provision of the out of hours services from that day, NHS England must give notice in writing to the contractor of this fact at least one month before B day, in which case the contractor must continue to provide the out of hours services until C day.10The opt out takes effect at 8.00am on the relevant day unless—athe day is a Saturday, Sunday, Good Friday, Christmas Day, or a bank holiday, in which case the opt out takes effect on the next working day at 8.00am; orbNHS England and the contractor agree a different day or time.11As soon as reasonably practicable and, in any event, before the end of the period of seven days beginning with the date on which NHS England gives notice under paragraph (10), NHS England must enter into discussions with the contractor concerning the support that NHS England may give to the contractor or other changes which NHS England or the contractor may make in relation to the provision of out of hours services until C day.311Before any out of hours opt out takes effect, NHS England and the contractor must discuss how to inform the contractor's patients of the proposed opt out.2The contractor must, if requested by NHS England, inform its registered patients of an opt out and the arrangements made for them to receive the out of hours services by—aplacing a notice in the contractor's waiting rooms; orbincluding the information in the contractor's practice leaflet.PART 7321Where a contractor is providing essential services under the agreement and would like to enter into a general medical services contract by virtue of this regulation, the contractor must give notice in writing to NHS England to that effect at least three months before the date on which the contractor would like to enter into the general medical services contract.2A notice given under paragraph (1) must—astate that the contractor wants to terminate the agreement and the date on which the contractor would like the agreement to terminate, which must be at least three months after the date on which the notice was given;bsubject to paragraph (3), give the names of the person or persons with whom the contractor wants NHS England to enter into a general medical services contract; andcconfirm that the person or persons so named meet the conditions set out in section 86 of the Act (persons eligible to enter into GMS contracts) and regulations 5 (conditions relating solely to general medical practitioners) and 6 (general condition relating to all contracts) of the General Medical Services Contracts Regulations or, where the contractor is not able so to confirm, provide the reason why it is not able to do so together with confirmation that the person or persons will, immediately prior to entering into the general medical services contract, meet those conditions.3A person's name may only be given in a notice referred to in paragraph (1) if that person is a party to the agreement.4NHS England must acknowledge receipt of the notice given under paragraph (1) before the end of the period of seven days beginning with the date on which NHS England received the notice.5Provided that the conditions set out in section 86 of the Act (persons eligible to enter into GMS contracts) and regulations 5 and 6 of the General Medical Services Contracts Regulations are met, NHS England must enter into a general medical services contract with the person or persons named in the notice given under paragraph (1).6In addition to the terms required by the Act and the General Medical Services Contracts Regulations, a general medical services contract entered into by virtue of this regulation must provide for—athe general medical services contract to commence immediately after the termination of the agreement;bthe names of the patients included in the contractor's list of patients immediately before the termination of the agreement to be included in the first list of patients to be prepared and maintained by NHS England under paragraph 17 of Schedule 3 to the General Medical Services Contracts Regulations;cthe same services to be provided under the general medical services contract as were provided under the agreement immediately before it was terminated unless the parties otherwise agree; anddthe opt out of the provision of out of hours services referred to in paragraph (7) in accordance with the terms specified in Part 6 of the General Medical Services Contracts Regulations (opt outs: additional and out of hours services).7The out of hours services are the services which the contractor was providing under the agreement in accordance with regulation 22 immediately before its termination and which the general medical services contract continues to require the contractor to provide.8An agreement is to terminate on the date stated in the notice given by the contractor under paragraph (1) unless a different date is agreed by the contractor and NHS England or no general medical services contract is entered into by NHS England by virtue of this regulation.9Where there is a dispute as to whether or not a person satisfies the conditions set out in section 86 of the Act (persons eligible to enter into a GMS contract), or of regulations 5 and 6 of the General Medical Services Contracts Regulations, the contractor may appeal to the First-tier Tribunal under this regulation and NHS England is to be the respondent.10Any other dispute relating to this regulation is to be determined by the Secretary of State in accordance with regulation 9(2) and (3) of the General Medical Services Contracts Regulations.11The parties to a dispute referred to the Secretary of State in accordance with paragraph (10) are the contractor and NHS England.PART 833A medical practitioner may only perform clinical services under the agreement where that medical practitioner is not—aprohibited from performing any such service by regulation 24 of the National Health Service (Performers Lists) (England) Regulations 2013;bsuspended from the medical performers list or from the Medical Register; andcsubject to interim suspension under section 41A of the Medical Act 1983.341A health care professional (other than one to whom regulation 33 applies) may not perform clinical services under the agreement unless—athat health care professional is registered with the professional body relevant to that health care professional's profession; andbthat registration is not subject to a period of suspension.35Where the registration of a health care professional, or, in the case of a medical practitioner, the inclusion of that practitioner's name in a primary care list, is subject to conditions, the contractor must ensure compliance with those conditions in so far as they are relevant to the agreement.36A health care professional may not perform any clinical services under the agreement unless that person has such clinical experience and training as is necessary to enable the person to properly perform such services.371Subject to paragraph (2), a contractor may not employ or engage a medical practitioner unless the contractor has checked that the practitioner meets the requirements of—aregulation 33; andbregulation 36.2Where—athe employment or engagement of a medical practitioner is urgently needed; andbit is not possible for the contractor to check the matters referred to in regulation 36 in accordance with paragraph (1)(b) before employing or engaging the practitioner,the contractor may employ or engage the practitioner on a temporary basis for a single period of up to seven days while such checks are undertaken.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .381Subject to paragraph (2), a contractor may not employ or engage a health care professional to perform clinical services under the agreement unless—athe contractor has checked that the health care professional meets the requirements of regulation 34; orbthe contractor has taken reasonable steps to satisfy itself that the health care professional meets the requirements of regulation 36.2Where—athe employment or engagement of a health care professional is urgently needed; andbit is not possible for the contractor to check the matters referred to in regulation 36 in accordance with paragraph (1) before employing or engaging the healthcare professional,the contractor may employ or engage the health care professional on a temporary basis for a single period of up to seven days while such checks are undertaken.3When considering a health care professional's experience and training for the purposes of paragraph (1)(b), the contractor must, in particular, have regard to any—apost-graduate or post-registration qualification held by the health care professional; andbrelevant training undertaken, and any relevant clinical experience gained, by the health care professional.391The contractor may not employ or engage a health care professional to perform clinical services under the agreement (other than a medical practitioner to whom regulation 33(2)(d) applies) unless—athat person has provided two clinical references, relating to two recent posts (which may include any current post) as a health care professional which lasted for three months without a significant break, or where this is not possible, a full explanation of why this is the case and details of alternative referees; andbthe contractor has checked and is satisfied with the references.2Where—athe employment or engagement of a health care professional is urgently needed; andbit is not possible for the contractor to obtain and check the references in accordance with paragraph (1)(b) before employing or engaging that health care professional,the contractor may employ or engage the health care professional on a temporary basis for a single period of up to 14 days while the references are checked and considered, and for an additional period of a further seven days if the contractor believes that the person supplying those references is ill, on holiday or otherwise temporarily unavailable.3Where the contractor employs or engages the same person on more than one occasion within a period of three months, the contractor may rely on the references provided on the first occasion, provided that those references are not more than 12 months old.401The contractor must, before employing or engaging a person to assist it in the provision of services under the agreement, take reasonable steps to satisfy itself that the person in question is both suitably qualified and competent to discharge the duties for which that person is to be employed or engaged.2The duty imposed on the contractor by paragraph (1) is in addition to the duties imposed by regulations 37 to 39.3When considering the competence and suitability of a person for the purposes of paragraph (1), the contractor must, in particular, have regard to that person's—aacademic and vocational qualifications;beducation and training; andcprevious employment or work experience.411The contractor must ensure that for any health care professional who is—aperforming clinical services under the agreement, orbemployed or engaged to assist in the performance of such services,there are in place arrangements for the purpose of maintaining and updating the skills and knowledge of that health care professional in relation to the services which that health care professional is performing or assisting in the performance of.2The contractor must afford to each employee reasonable opportunities to undertake appropriate training with a view to maintaining that employee's competence.421The contractor may only employ a GP Specialty Registrar subject to the conditions specified in paragraph (2).2The conditions specified in this paragraph are that the contractor must not, by reason only of having employed a GP Specialty Registrar, reduce the total number of hours for which other medical practitioners perform primary medical services under the agreement or for which other staff assist those medical practitioners in the performance of those services.3Where a contractor employs a GP Specialty Registrar, the contractor must—aoffer that GP Specialty Registrar terms of employment in accordance with such rates, and subject to such conditions, as are approved by the Secretary of State concerning the grants, fees, travelling and other allowances payable to GP Specialty Registrars; andbtake into account the guidance contained in the document entitled “A Reference Guide to Postgraduate Specialty Training in the UK”.43A contractor may not, by reason only of having employed or engaged a person who is—aprovisionally registered under section 15, 15A or 21 of the Medical Act 1983 ; andbacting in the course of that person's employment in a resident medical capacity in a post-registration programme,reduce the total number of hours in which other staff assist in the performance of medical services under the agreement.441For the purposes of this regulation, “a relevant prescriber” is—aa chiropodist or podiatrist independent prescriber;ban independent nurse prescriber;ca pharmacist independent prescriber;da physiotherapist independent prescriber; orea supplementary prescriber.2The contractor must give notice to NHS England where—aa relevant prescriber is employed or engaged by a contractor to perform functions which include prescribing;ba relevant prescriber is a party to the agreement whose functions include prescribing; orcthe functions of a relevant prescriber whom the contractor already employs or has already engaged are extended to include prescribing.3The notice under paragraph (2) must be given in writing to NHS England before the expiry of the period of seven days beginning with the date on which—athe relevant prescriber was employed or engaged by the contractor or, as the case may be, became a party to the agreement (unless immediately before becoming such a party, paragraph (2)(a) applied to that relevant prescriber); orbthe functions of the relevant prescriber were extended to include prescribing.4The contractor must give notice to NHS England where—athe contractor ceases to employ or engage a relevant prescriber in the contractor's practice whose functions include prescribing in the contractor's practice;ba relevant prescriber ceases to be a party to the agreement;cthe functions of a relevant prescriber employed or engaged by the contractor in the contractor's practice are changed so that they no longer include prescribing in the contractor's practice; ordthe contractor becomes aware that a relevant prescriber whom it employs or engages has been removed or suspended from the relevant register.5The notice under paragraph (4) must be given in writing to NHS England before the end of the second working day after the day on which an event described in sub-paragraphs (a) to (d) occurred in relation to the relevant prescriber.6The contractor must provide the following information when it gives notice to NHS England in accordance with paragraph (2)—athe person's full name;bthe person's professional qualifications;cthe person's identifying number which appears in the relevant register;dthe date on which the person's entry in the relevant register was annotated to the effect that the person was qualified to order drugs, medicines and appliances for patients;ethe date on which—ithe person was employed or engaged (if applicable),iithe person became a party to the agreement (if applicable), oriiithe functions of the person were extended to include prescribing in the contractor's practice.7The contractor must provide the following information when it gives notice to NHS England in accordance with paragraph (4)—athe person's full name;bthe person's professional qualifications;cthe person's identifying number which appears in the relevant register; anddthe date on which—ithe person ceased to be employed or engaged in the contractor's practice,iithe person ceased to be a party to the agreement,iiithe functions of the person were changed so as to no longer include prescribing in the contractor's practice, orivthe person was removed or suspended from the relevant register.451The contractor must ensure—athat the documents specified in paragraph (2) include—ithe clinical profession of the health care professional who signed the document; andiithe name of the contractor on whose behalf the document is signed; andbthat the documents specified in paragraph (3) include the clinical profession of the health care professional who signed the document.2The documents specified in this paragraph are—acertificates issued in accordance with regulation 15, unless regulations relating to particular certificates provide otherwise; andbany other clinical documents apart from—ihome oxygen order forms, andiithe documents specified in paragraph (3).3The documents specified in this paragraph are batch issues, prescription forms and repeatable prescriptions.4This regulation is in addition to any other requirements relating to the documents specified in paragraphs (2) and (3) whether in these Regulations or elsewhere.46The contractor must carry out its obligations under the agreement with reasonable care and skill.471The contractor must ensure that any medical practitioner performing services under the agreement—aparticipates in the appraisal system provided by NHS England unless that medical practitioner participates in an appropriate appraisal system provided by another health service body or is an armed forces GP; andbco-operates with NHS England in relation to NHS England’s patient safety functions.2NHS England must provide an appraisal system for the purposes of paragraph (1)(a) after consultation with the Local Medical Committee (if any) for the area in which the practitioner is to provide services under the agreement and such other persons as appear to it to be appropriate.3In paragraph (1), “armed forces GP” means a medical practitioner who is employed on a contract of service by the Ministry of Defence, whether or not as a member of the armed forces of the Crown.PART 9481The contractor must ensure that—aany prescription form or repeatable prescription issued or created by a prescriber;bany home oxygen order form issued by a health care professional; andcany listed prescription items voucher issued by a prescriber or any other person acting under the agreement,complies as appropriate with the requirements in regulations 49, 50 and 52 to 55.2In regulations 49, 50 and 52 to 56, a reference to “drugs” includes contraceptive substances and a reference to “appliances” includes contraceptive appliances.48A1This paragraph applies where—athe Secretary of State, in the exercise of the Secretary of State’s obligations, duties or powers in respect of ensuring that adequate supplies of English health service medicines are available—ihas acquired information under Part 6 of the Health Service Products (Provision and Disclosure of Information) Regulations 2018 (information about price and availability of health service medicines) about a particular English health service medicine, andiiauthorises the disclosure of information derived from that information (“relevant communications information”) to contractors for the purpose of ensuring, by the appropriate and effective management of—aaa supply shortage of that particular English health service medicine, orbbthe discontinuation of the production of that particular English health service medicine,that adequate supplies of English health service medicines are available;bthe contractor wishes to receive relevant communications information via the prescribing software that it has to support the issuing of prescriptions for English health service medicines (in addition to the other ways in which it may access that information); andcthere is a software programme available to the contractor from its supplier of prescribing software (“SPS”) that would enable that.2Where paragraph (1) applies, the contractor must ensure that the arrangements it makes with a SPS to support the issuing of prescriptions for English health service medicines—ainclude appropriate provision requiring the updating of the software to take account of relevant communications information about supply shortages of, or the discontinuation of the production of, particular English health service medicines; andbare, as regards that inclusion, consistent with the authorisation referred to in paragraph (1)(a)(ii).3The disclosure of relevant communications information by the Secretary of State or a person acting on the Secretary of State’s behalf to a SPS, or by a SPS to a contractor in a manner that is consistent with the authorisation referred to in paragraph (1)(a)(ii), is not a disclosure of confidential or commercially sensitive information affected by section 264B(2)(b) of the Act, in a case where but for this paragraph it would be, if the disclosure is—afor the purpose of ensuring, by the appropriate and effective management by the Secretary of State (and persons acting on the Secretary of State’s behalf) of—ia supply shortage of the particular English health service medicine in question, oriithe discontinuation of the production of the particular English health service medicine in question,that adequate supplies of English health service medicines are available; andbproportionate to that purpose.4A disclosure of relevant communications information as mentioned in paragraph (3) may be by way of permitting access to that information rather than proactive disclosure.5A disclosure of relevant communications information that is as mentioned in paragraph (3) is to be treated as neither constituting a breach of confidence nor prejudicing commercial interests in any case where, but for this paragraph, it would be so treated.6Section 264B(3)(f) of the Act applies to the contractor in respect of relevant communications information received as part of the arrangements mentioned in paragraph (2) as it would if the Secretary of State had disclosed that information to the contractor directly instead of via an intermediary.7A SPS must not disclose relevant communications information, other than as provided for in paragraph (3), if it is confidential or commercially sensitive information that, when disclosed to a contractor by the Secretary of State, is subject to the disclosure restriction in section 264B(2)(b) of the Act.491Subject to paragraphs (1A), (2) and (3) and to the restrictions on prescribing in regulations 54 and 55, a prescriber must order any drugs, medicines or appliances which are needed for the treatment of a patient who is receiving treatment under the agreement by—aissuing to the patient a non-electronic prescription form or non-electronic repeatable prescription completed in accordance with paragraph (6);bcreating and transmitting an electronic prescription in circumstances to which regulation 50(1) applies,and a non-electronic prescription form, non-electronic repeatable prescription or electronic prescription that is for health service use must not be used in any other circumstances.1AIf, on a particular occasion when a drug, medicine or appliance is needed as mentioned in paragraph (1)—athe prescriber is able, without delay, to order the drug, medicine or appliance by means of an electronic prescription;bthe Electronic Prescription Service software that the prescriber would use for that purpose provides for the creation and transmission of electronic prescriptions without the need for a nominated dispenser; andcnone of the reasons for issuing a non-electronic prescription form or a non- electronic repeatable prescription given in paragraph (1B) apply,the prescriber must create and transmit an electronic prescription for that drug, medicine or appliance.1BThe reasons given in this paragraph are—aalthough the prescriber is able to use the Electronic Prescription Service, the prescriber is not satisfied that—ithe access that the prescriber has to the Electronic Prescription Service is reliable, oriithe Electronic Prescription Service is functioning reliably;bthe patient, or where appropriate the patient’s authorised person, informs the prescriber that the patient wants the option of having the prescription dispensed elsewhere than in England;cthe patient, or where appropriate the patient’s authorised person, insists on the patient being issued with a non-electronic prescription form or a non-electronic repeatable prescription for a particular prescription and in the professional judgment of the prescriber the welfare of the patient is likely to be in jeopardy unless a non-electronic prescription form or a non-electronic repeatable prescription is issued;dthe prescription is to be issued before the contractor’s EPS phase 4 date or the contractor has no such date.2A healthcare professional must order any home oxygen services which are needed for the treatment of a patient who is receiving treatment under the agreement by issuing a home oxygen order form.3During an outbreak of an illness for which a listed prescription item may be used for a treatment or for prophylaxis, if—athe Secretary of State or NHS England has made arrangements for the distribution of a listed prescription item free of charge; andbthat listed prescription item is needed for treatment or prophylaxis of any patient who is receiving treatment under the agreement,a prescriber may order that listed prescription item by using a listed prescription items voucher and must sign that listed prescription items voucher (with an electronic signature, if an electronic form is used) if one is used.4During an outbreak of an illness for which a listed prescription item may be used for treatment or for prophylaxis, if—athe Secretary of State or NHS England has made arrangements for the distribution of a listed prescription item free of charge;bthose arrangements contain criteria set out in a protocol which enable persons who are not prescribers to identify the symptoms of, and whether there is a need for treatment or prophylaxis of, that disease;ca person acting on behalf of the contractor, who is not a prescriber but who is authorised by NHS England to order listed prescription items, has applied the criteria referred to in sub-paragraph (b) to a patient who is receiving treatment under the agreement; anddhaving applied the criteria, that person has concluded that the listed prescription item is needed for the treatment or prophylaxis of the patient,that person may order that listed prescription item by using a listed prescription items voucher and must sign that listed prescription items voucher (with an electronic signature, if an electronic form is used) if one is used.5A prescriber may only order drugs, medicines or appliances on a repeatable prescription where the drugs, medicines or appliances are to be provided more than once.5AA prescriber must only order one prescription item on a prescription form or repeatable prescription that is used by the prescriber for ordering a listed HRT prescription item.5BFor the purposes of paragraph (5A), “listed HRT prescription item” is to be construed in accordance with regulation 17A(1)(a) of the National Health Service (Charges for Drugs and Appliances) Regulations 2015, read with regulation 17A(7) of those Regulations.6In issuing a non-electronic prescription form or non-electronic repeatable prescription the prescriber must—asign the prescription form or repeatable prescription in ink in the prescriber's own handwriting, and not by means of a stamp, with the prescriber's initials, or forenames, and surname; andbonly sign the prescription or repeatable prescription after particulars of the order have been inserted in the prescription form or repeatable prescription.7A prescription form or repeatable prescription must not refer to any previous prescription form or repeatable prescription.8A separate prescription form or repeatable prescription must be used for each patient, except where a bulk prescription is issued for a school or institution under regulation 54.9A home oxygen order form must be signed by a health care professional.10Where a prescriber orders the drug buprenorphine or diazepam or a drug specified in Schedule 2 to the Misuse of Drugs Regulations 2001 (controlled drugs to which regulations 14 to 16, 18, 21, 23, 26 and 27 of those Regulations apply) for supply by instalments for treating addiction to any drug specified in that Schedule, that prescriber must—ause only the ... prescription form provided specially for the purposes of supply by instalments;bspecify the number of instalments to be dispensed and the interval between each instalment; andconly order such quantity of the drug as will provide treatment for a period not exceeding 14 days.11The prescription form provided specially for the purpose of supply by instalments must not be used for any purpose other than ordering drugs in accordance with paragraph (10).12In an urgent case, a prescriber may only request a chemist to dispense a drug or medicine before a prescription form or repeatable prescription is issued or created if—athe drug or medicine is not a Scheduled drug;bthe drug is not a controlled drug within the meaning of section 2 of the Misuse of Drugs Act 1971 (which relates to controlled drugs and their classification for the purposes of that Act), other than a drug which is for the time being specified in Part 1 of Schedule 4 (controlled drugs subject to the requirements of regulations 22, 23, 26 and 27) or Schedule 5 (controlled drugs excepted from the prohibition of importation, exportation and possession and subject to the requirements of regulations 24 and 26) to the Misuse of Drugs Regulations 2001 ; andcthe prescriber undertakes to—iprovide the chemist within 72 hours from the time of the request with a non-electronic prescription form or a non-electronic repeatable prescription completed in accordance with paragraph (6), oriitransmit by the Electronic Prescription Service within 72 hours from the time of the request an electronic prescription.13In an urgent case, a prescriber may only request a chemist to dispense an appliance before a prescription form or repeatable prescription form is issued or created if—athe appliance does not contain a Scheduled drug, or a controlled drug within the meaning of section 2 of the Misuse of Drugs Act 1971 (which relates to controlled drugs and their classification for the purposes of that Act), other than a drug which is for the time being specified in Schedule 5 to the Misuse of Drugs Regulations 2001 (controlled drugs excepted from the prohibition on importation, exportation and possession and subject to the requirements of regulations 24 and 26);bin the case of a restricted availability appliance, the patient is a person, or it is for a purpose, specified in the Drug Tariff; andcthe prescriber undertakes to—iprovide the chemist within 72 hours from the time of the request with a non-electronic prescription form or non-electronic repeatable prescription completed in accordance with paragraph (6), oriitransmit by the Electronic Prescription Service within 72 hours from the time of the request an electronic prescription.501A prescriber may only order drugs, medicines or appliances by means of an electronic prescription if—a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .cthe prescription is not—ifor a controlled drug within the meaning of section 2 of the Misuse of Drugs Act 1971 (which relates to controlled drugs and their classification for the purposes of that Act), other than a drug which is for the time being specified in Schedule 4 (controlled drugs subject to the requirements of regulations 22, 23, 26 and 27) or 5 (controlled drugs excepted from the prohibition on importation, exportation and possession and subject to the requirements of regulations 24 and 26) to the Misuse of Drugs Regulations 2001, oriia bulk prescription issued for a school or institution under regulation 56.1AIf a prescriber orders a drug, medicine or appliance by means of an electronic prescription, the prescriber must issue the patient with—asubject to paragraph (1C), an EPS token; andbif the patient, or where appropriate an authorised person, so requests, a written record of the prescription that has been created.1BOn and after the contractor’s EPS phase 4 date, if the order is eligible for Electronic Prescription Service use, the prescriber must ascertain if the patient, or where appropriate the patient’s authorised person, wants to have the electronic prescription dispensed by a nominated dispenser.1CThe prescriber must not issue the patient with an EPS token if the patient, or where appropriate the patient’s authorised person, wants to have the electronic prescription dispensed by a nominated dispenser.2A health care professional may not order home oxygen services by means of an electronic prescription.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .511A contractor authorised to use the Electronic Prescription Service for its patients must , if a patient, or where appropriate the patient’s authorised person, so requests, enter into the particulars relating to the patient which are held in the Patient Demographic Service operated by NHS England—awhere the patient does not have a nominated dispenser, the dispenser chosen by the patient or where appropriate the patient’s authorised person;bwhere the patient does have a nominated dispenser—ia replacement dispenser, oriia further dispenser,chosen by the patient.2Paragraph (1)(b)(ii) does not apply if the number of the nominated dispensers would thereby exceed the maximum number permitted by the Electronic Prescription Service.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4A contractor must—anot seek to persuade the patient or the patient’s authorised person to nominate a dispenser recommended by the prescriber or the contractor; andbif asked by the patient or the patient’s authorised person to recommend a chemist whom the patient or the patient’s authorised person might nominate as the patient's dispenser, provide the patient or, as the case may be, the patient’s authorised person with the list given to the contractor by NHS England of all chemists in the area who provide an Electronic Prescription Service.521The contractor may only provide repeatable prescribing services to a person on its lists of patients if the contractor—asatisfies the conditions specified in paragraph (2); andbhas given notice in writing to NHS England of its intention to provide repeatable prescribing services in accordance with paragraphs (3) and (4).2The conditions specified in this paragraph are that—athe contractor has access to computer systems and software which enable it to issue non-electronic repeatable prescriptions and batch issues; andbthe practice premises at which the repeatable prescribing services are to be provided are located in a local authority area in which there is also located the premises of at least one chemist who has undertaken to provide, or has entered into arrangements to provide, repeat dispensing services.3The notice given under paragraph (1)(b) must confirm that the contractor—awants to provide repeatable prescribing services;bintends to begin providing those services from a specified date; andcsatisfies the conditions specified in paragraph (2).4The date specified by the contractor under paragraph (3)(b) must be at least ten days after the date on which the notice under paragraph (1)(b) was given.5Nothing in this regulation requires a contractor or prescriber to provide repeatable prescribing services to any person.6A prescriber may only provide repeatable prescribing services to a person on a particular occasion if—athe person has agreed to receive such services on that occasion; andbthe prescriber considers that it is clinically appropriate to provide such services to that person on that occasion.7The contractor may not provide repeatable prescribing services to any of its patients to whom a person specified in paragraph (8) is authorised or required by NHS England to provide pharmaceutical services in accordance with arrangements under section 126 (arrangements for pharmaceutical services) and section 132 (persons authorised to provide pharmaceutical services) of the Act.8The persons specified in this paragraph are—aa medical practitioner who is a party to the agreement;bin the case of an agreement with a qualifying body, any medical practitioner who is both a legal and beneficial shareholder in that body; orcany medical practitioner employed or engaged by the contractor.531A prescriber who issues a non-electronic repeatable prescription must at the same time issue the appropriate number of batch issues.2Where a prescriber wants to make a change to the type, quantity, strength or dosage of drugs, medicines or appliances ordered on a person's repeatable prescription, the prescriber must—ain the case of a non-electronic repeatable prescription—igive notice to the person, andiimake reasonable efforts to give notice to the chemist providing repeat dispensing services to the person,that the original repeatable prescription should no longer be used to obtain or provide repeat dispensing services and make arrangements for a replacement repeatable prescription to be issued to the person; orbin the case of an electronic repeatable prescription—iarrange with the Electronic Prescription Service for the cancellation of the original repeatable prescription, andiicreate a replacement electronic repeatable prescription relating to the person and give notice to the person that this has been done.3Where a prescriber has created an electronic repeatable prescription for a person, the prescriber must, as soon as practicable, arrange with the Electronic Prescription Service for its cancellation if, before the expiry of that prescription—athe prescriber considers that it is no longer safe or appropriate for the person to receive the drugs, medicines or appliances ordered on the person's electronic repeatable prescription or it is no longer safe or appropriate for the person to continue to receive repeatable prescribing services;bthe prescriber has issued the person with a non-electronic repeatable prescription in place of the electronic repeatable prescription; orcit comes to the prescriber's notice that the person has been removed from the list of patients of the contractor on whose behalf the prescription was issued.4Where a prescriber has cancelled an electronic repeatable prescription relating to a person in accordance with paragraph (3), the prescriber must give notice to the person as soon as possible to that effect.5A prescriber who has issued a non-electronic repeatable prescription in relation to a person must, as soon as possible, make reasonable efforts to give notice to the chemist that that repeatable prescription should no longer be used to provide repeat dispensing services to that person, if, before the expiry of that repeatable prescription—athe prescriber considers that it is no longer safe or appropriate for the person to receive the drugs, medicines or appliances ordered on the person's repeatable prescription or that it is no longer safe or appropriate for the person to continue to receive repeatable prescribing services;bthe prescriber issues or creates a further repeatable prescription in respect of the person to replace the original repeatable prescription other than in the circumstances referred to in paragraph (2)(a) (for example, because the person wants to obtain the drugs, medicines or appliances from a different chemist); orcit comes to the prescriber's attention that the person has been removed from the list of patients of the contractor on whose behalf the prescription was issued.6Where the circumstances in paragraph (5)(a) to (c) apply, the prescriber must, as soon as practicable, give notice to a person that the person's repeatable prescription should no longer be used to obtain repeat dispensing services.53A1Subject to regulations 49, 50, 52 and 53(2)(b) to (4), where a prescriber orders a drug, medicine or appliance by means of an electronic repeatable prescription, the prescriber must issue the prescription in a format appropriate for electronic repeat dispensing where it is clinically appropriate to do so for that patient on that occasion. 2In this regulation, “electronic repeat dispensing” means dispensing as part of pharmaceutical services or local pharmaceutical services which involves the provision of drugs, medicines or appliances accordance with an electronic repeatable prescription.541A medical practitioner, in the course of treating a patient to whom the practitioner is providing treatment under the agreement, must comply with the following paragraphs.2The medical practitioner must not order on a listed prescription items voucher, prescription form or a repeatable prescription a drug, medicine or other substance specified in any directions given by the Secretary of State under section 88 of the Act (GMS contracts: prescription of drugs etc) as being a drug, medicine or other substance which may not be ordered for patients in the provision of medical services under a general medical services contract.3The medical practitioner must not order on a listed prescription items voucher, a prescription form or repeatable prescription a drug, medicine or other substance specified in any directions given by the Secretary of State under section 88 of the Act (GMS contracts: prescription of drugs etc) as being a drug, medicine or other substance which can be ordered for specified patients and specified purposes unless—athe patient is a person of the specified description;bthe drug, medicine or other substance is prescribed for that patient only for the specified purpose; andcif the order is on a prescription form, the practitioner includes on the form—ithe reference “SLS”, oriiif the order is under arrangements made by the Secretary of State or NHS England for the distribution of a listed prescription item free of charge, the reference “ACP”.4The medical practitioner must not order on a prescription form or repeatable prescription a restricted availability appliance unless—athe patient is a person, or it is for a purpose, specified in the Drug Tariff; andbthe practitioner includes on the prescription form the reference “SLS”.5The medical practitioner must not order on a repeatable prescription a controlled drug within the meaning of section 2 of the Misuse of Drugs Act 1971 (controlled drugs and their classification for the purposes of that Act), other than a drug which is for the time being specified in Schedule 4 (controlled drugs subject to the requirements of regulations 22, 23, 26 and 27) or Schedule 5 (controlled drugs excepted from the prohibition on importation, exportation and possession and subject to the requirements of regulations 24 and 26) to the Misuse of Drugs Regulations 2001 .6Subject to regulation 18(2)(b) and to paragraph (7), nothing in the preceding paragraphs prevents a medical practitioner, in the course of treating a patient to whom this regulation refers, from prescribing a drug, medicine or other substance or, as the case may be, a restricted availability appliance or a controlled drug within the meaning of section 2 of the Misuse of Drugs Act 1971 (controlled drugs and their classification for the purposes of that Act) for the treatment of that patient under a private arrangement.7Where, under paragraph (6), a drug, medicine or other substance is prescribed under a private arrangement, if the order is to be transmitted as an electronic communication to a chemist for the drug, medicine or appliance to be dispensed—aif the order is not for a drug for the time being specified in Schedule 2 (controlled drugs subject to the requirements of regulations 14, 15, 16, 18, 19, 20, 21, 23, 26 and 27) or Schedule 3 (controlled drugs subject to the requirements of regulations 14, 15, 16, 18, 22, 23, 24, 26 and 27) to the Misuse of Drugs Regulations 2001 , it may be transmitted by the Electronic Prescription Service; butbif the order is for a drug for the time being specified in Schedule 2 (controlled drugs subject to the requirements of regulations 14, 15, 16, 18, 19, 20, 21, 23, 26 and 27) or Schedule 3 (controlled drugs subject to the requirements of regulations 14, 15, 16, 18, 22, 23, 24, 26 and 27) to the Misuse of Drugs Regulations 2001, it must be transmitted by the Electronic Prescription Service.551The contractor must have arrangements in place to secure that a supplementary prescriber may only—aissue or create a prescription for a prescription only medicine;badminister a prescription only medicine for parenteral administration; orcgive directions for the administration of a prescription only medicine for parenteral administration,as a supplementary prescriber under the conditions set out in paragraph (2).2The conditions set out in this paragraph are that—athe person satisfies the conditions in regulation 215 of the Human Medicines Regulations 2012 (prescribing and administration by supplementary prescribers), unless those conditions do not apply by virtue of any of the exemptions set out in the subsequent provisions of those Regulations;bthe prescription only medicine is not specified in any directions given by the Secretary of State under section 88 of the Act (GMS contracts: prescription of drugs etc) as being a drug, medicine or other substance which may not be ordered for patients in the provision of medical services under a general medical services contract; andcthe prescription only medicine is not specified in any directions given by the Secretary of State under section 88 of the Act (GMS contracts: prescription of drugs) as being a prescription only medicine which can only be ordered for specified patients and specified purposes unless—ithe patient is a person of the specified description,iithe medicine is prescribed for that patient only for the specified purposes, andiiiif the supplementary prescriber is issuing or creating a prescription on a prescription form the prescriber includes on the form—aathe reference “SLS”, orbbin the case of a listed prescription item ordered under arrangements made by the Secretary of State or NHS England for the item’s distribution free of charge, the reference “ACP”.3Where the functions of a supplementary prescriber include prescribing, the contractor must have arrangements in place to secure that the person may only issue or create a prescription for—aan appliance; orba medicine which is not a prescription only medicine,as a supplementary prescriber under the conditions set out in paragraph (4).4The conditions set out in this paragraph are that—athe supplementary prescriber acts in accordance with a clinical management plan which is in effect at the time at which that prescriber acts and which contains the following particulars—ithe name of the patient to whom the plan relates,iithe illness or conditions which may be treated by the supplementary prescriber,iiithe date on which the plan is to take effect, and when it is to be reviewed by the medical practitioner or dentist who is a party to the plan,ivreference to the class or description of medicines or types of appliances which may be prescribed or administered under the plan,vany restrictions or limitations as to the strength or dose of any medicine which may be prescribed or administered under the plan, and any period of administration or use of any medicine or appliance which may be prescribed or administered under the plan,virelevant warnings about known sensitivities of the patient to, or known difficulties of the patient with, particular medicines or appliances,viithe arrangements for giving notice of—aasuspected or known adverse reactions to any medicine which may be prescribed or administered under the plan, and suspected or known adverse reactions to any other medicine taken at the same time as any medicine prescribed or administered under the plan, andbbincidents occurring with the appliance that might lead, might have led or has led to the death or serious deterioration of the state of health of the patient, andviiithe circumstances in which the supplementary prescriber should refer to, or seek the advice of the medical practitioner or dentist who is a party to the plan;bthe supplementary prescriber has access to the health records of the patient to whom the plan relates which are used by any medical practitioner or dentist who is a party to the plan;cif it is a prescription for a prescription only medicine, that prescription only medicine is not specified in any directions given by the Secretary of State under section 88 of the Act (GMS contracts: prescription of drugs etc) as being a drug, medicine or other substance which may not be ordered for patients in the provision of medical services under the agreement;dif it is a prescription for a prescription only medicine, that prescription only medicine is not specified in any directions given by the Secretary of State under section 88 of the Act (GMS contracts: prescription of drugs etc) as being a drug, medicine or other substance which can only be ordered for specified patients and specified purposes unless—ithe patient is a person of a specified description,iithe medicine is prescribed for that patient only for the specified purposes, andiiiwhen issuing or creating the prescription, the supplementary prescriber includes on the prescription form the reference “SLS”;eif it is prescription for an appliance, the appliance is listed in Part IX of the Drug Tariff; andfif it is a prescription for a restricted availability appliance—ithe patient is a person of a description mentioned in the entry in Part IX of the Drug Tariff in respect of that appliance,iithe appliance is prescribed only for the purposes specified in respect of that person in that entry, andiiiwhen issuing or creating the prescription, the supplementary prescriber includes on the prescription form the reference “SLS”.5In paragraph (4)(a), “clinical management plan” means a written plan (which may be amended from time to time) relating to the treatment of an individual patient agreed by—athe patient to whom the plan relates;bthe medical practitioner or dentist who is a party to the plan; andcany supplementary prescriber who is to prescribe, give directions for administration or administer under the plan.561A prescriber may use a single use non-electronic prescription form where—aa contractor is responsible under the agreement for the treatment of ten or more persons in a school or other institution in which at least 20 persons normally reside; andbthe prescriber orders, for any two or more of those persons for whose treatment the contractor is responsible, drugs, medicines or appliances to which this regulation applies.2Where a prescriber uses a single non-electronic prescription form for the purpose mentioned in paragraph (1)(b), the prescriber must (instead of entering on the form the names of the persons for whom the drugs, medicines or appliances are ordered) enter on the form—athe name of the school or other institution in which those persons reside; andbthe number of persons residing there for whose treatment the contractor is responsible.3This regulation applies to any drug, medicine or appliance which can be supplied as part of pharmaceutical services or local pharmaceutical services and which—ain the case of a drug or medicine, is not a prescription only medicine; orbin the case of an appliance, does not contain such a product.571The contractor must not prescribe drugs, medicines or appliances the cost or quantity of which, in relation to a patient, is, by reason of the character of the drug, medicine or appliance in question, in excess of that which was reasonably necessary for the proper treatment of the patient.2In considering whether a contractor has breached its obligations under paragraph (1), NHS England may, if the contractor consents, seek the views of the Local Medical Committee (if any) for the area in which the contractor provides services under the agreement.581Subject to paragraphs (2) and (3), a contractor—amust provide to a patient a drug, medicine or appliance, which is not a Scheduled drug, where such provision is needed for the immediate treatment of the patient before provision can otherwise be obtained; andbmay provide to a patient a drug, medicine or appliance, which is not a Scheduled drug, which the contractor personally administers or applies to the patient.2A contractor must only provide a restricted availability appliance if it is for a person or a purpose specified in the Drug Tariff.3Nothing in paragraph (1) or (2) authorises a person to supply any drug or medicine to a patient otherwise than in accordance with Part 12 of the Human Medicines Regulations 2012 .PART 10591In this Part—“complete course” means the course of treatment appropriate to the patient's condition, being the same as the amount that would have been prescribed if the patient had been seen during core hours;“necessary drugs, medicines and appliances” means those drugs, medicines and appliances which the patient requires and for which, in the reasonable opinion of the contractor having regard to the patient's medical condition, it would not be reasonable in all the circumstances for the patient to wait to obtain them;“out of hours performer” means a prescriber, a person acting in accordance with a Patient Group Direction or any other health care professional employed or engaged by the contractor who can lawfully supply a drug, medicine or appliance, who is performing out of hours services under the agreement;“Patient Group Direction” has the meaning given in the regulation 213(1) of the Human Medicines Regulations 2012 (interpretation); and“supply form” means a form provided by NHS England and completed by or on behalf of the contractor for the purpose of recording the provision of drugs, medicines or appliances to a patient during the out of hours period.2Where a contractor whose agreement includes the provision of out of hours services has agreed with NHS England that its agreement should also include the supply of necessary drugs, medicines or appliances to patients at the time that it is providing them with out of hours services, the contractor must comply with the requirements of paragraphs (3) to (5).3The contractor must ensure that an out of hours performer—aonly supplies necessary drugs, medicines and appliances;bsupplies the complete course of the necessary medicine or drug to treat the patient; andcdoes not supply—idrugs, medicines or appliances which the contractor could not lawfully supply,iiappliances which are not listed in Part IX of the Drug Tariff,iiirestricted availability appliances, except where the patient is a person, or it is for a purpose, specified in the Drug Tariff, oriva drug, medicine or other substance listed in Schedule 1 to the National Health Service (General Medical Services Contracts) (Prescription of Drugs etc) Regulations 2004 (drugs, medicines and other substances not to be ordered under a general medical services contract), or a drug listed in Schedule 2 to those Regulations (drugs, medicines and other substances that may be ordered only in certain circumstances), other than in the circumstances specified in that Schedule.4The out of hours performer—amust (except where sub-paragraph (b) applies) record on a separate supply form for each patient any drugs, medicines or appliances supplied to the patient; andbmay complete a single supply form in respect of the supply of any necessary drugs, medicines or appliances to two or more persons in a school or other institution in which at least 20 persons normally reside, in which case the out of hours performer may write on the supply form the name of the school or institution rather than the name of each individual patient.5The out of hours performer must ask any person to produce satisfactory evidence of entitlement where that person makes a declaration that a patient does not have to pay any of the charges specified in regulations made under section 172 of the Act (charges for drugs, medicines or appliances, or pharmaceutical services) or section 174 of the Act (pre-payment certificates) in respect of dispensing services to the patient by virtue of either—aentitlement to exemption under regulations made under section 172 or 174 of the Act; orbentitlement to full remission of charges under regulations made under section 182 (remission and repayment of charges) or 183 (payment of travelling expenses) of the Act.6Paragraph (5) does not apply if, at the time of the declaration, satisfactory evidence of entitlement is already available to the out of hours service performer.7If, in accordance with paragraphs (5) and (6), no satisfactory evidence of entitlement is produced or no such evidence is otherwise already available to the out of hours performer, the out of hours performer must endorse the supply form to that effect.8Subject to paragraph (9), nothing in this regulation prevents an out of hours performer from supplying a Scheduled drug or a restricted availability appliance in the course of treating a patient under a private arrangement.9The provisions of regulation 18 which relates to fees and charges apply in respect of the supply of necessary drugs, medicines and appliances under this regulation as they apply in respect of prescriptions for any drugs, medicines and appliances.PART10A59AIn this Part—“GMS Statement of Financial Entitlements” means the directions given by the Secretary of State under section 87 of the Act (GMS contracts: payments);“vaccine and immunisations services” has the meaning given in regulation 3(7) of the General Medical Services Contracts Regulations.59B1The contractor must co-operate, in so far as is reasonable, with relevant persons—ato understand the current uptake, and barriers to uptake, of offers to provide or administer vaccines and immunisations of the type specified in the GMS Statement of Financial Entitlements (“relevant vaccines and immunisations”) to patients, andbto develop (if necessary) a strategy for improving their immunisation programme.2For the purposes of paragraph (1) “relevant persons” means—aother persons who administer relevant vaccines and immunisations to patients;bNHS England;cthe Secretary of State;dlocal authorities.eintegrated care boards.59C1A contractor must ensure that they have in place a system for delivering appointments at which relevant vaccines or immunisations are administered to patients (“immunisation appointments”) which meets the Vaccines and Immunisations Standards.1AA contractor must comply with the standards contained in the Vaccines and Immunisations Standards on the processing of data relating to patients.2In this regulation— “processing” has the meaning given by section 3(4) of the Data Protection Act 2018; “relevant vaccine or immunisation” has the same meaning as in regulation 59B(1)(a) of these Regulations;“the Vaccines and Immunisations Standards” means the standards determined by NHS England published on 15 April 2024 and which a contractor is required to meet in relation to the following matters—the invitation of patients for immunisation appointments when they first become eligible for relevant vaccines or immunisations (“newly eligible patients”);the steps to be taken if no response is received to an invitation falling within sub-paragraph (a);the provision of immunisation appointments to newly eligible patients;the steps to be taken if a newly eligible patient does not attend an immunisation appointment;requests for relevant vaccines or immunisations made by patients who are eligible for them but have not previously received them for any reason;the identification of gaps in the vaccination records of registered patients, and the offer, and provision of, immunisation appointments to those patients. the processing of records relating to patient vaccinations and immunisations, including records relating to the administration of vaccines and patient vaccination status. 59D1The contractor must participate in a manner reasonably required by NHS England in one vaccines and immunisations catch-up campaign in each financial year.2In this regulation “vaccines and immunisations catch-up campaign” means a campaign which is aimed at maximising the uptake of a particular vaccine or immunisation by patients who are eligible for it but have not received that vaccine or immunisation for any reason (other than a decision to refuse the vaccine or immunisation).59E1The contractor must ensure that all staff involved in the administration of vaccines and immunisations are trained in the recognition and initial treatment of anaphylaxis.2This regulation does not affect the contractor’s obligations under Part 8.59F1The contractor must nominate a person (a “V & I lead”) who is to have responsibility for—aoverseeing the provision of vaccine and immunisation services by the contractor,bcarrying out, on behalf of the contractor, any of the contractor’s functions under regulation 59B, andcoverseeing compliance with the requirements of regulations 59B to 59E.2The contractor must ensure that the V & I lead—ahas regard to all guidance issued by NHS England which is relevant to that role, andbif they are not a health care professional, is directly supervised in that role by a healthcare professional.59GNothing in this Part applies in relation to the offer or administration of any vaccine or immunisation to a patient under a private arrangement.PART 11601The contractor must keep adequate records of its attendance on and treatment of patients.2A contractor which provides essential services must keep the records referred to in paragraph (1)—aon forms supplied to it for the purpose by NHS England; orbwith the written consent of NHS England, by way of computerised records,or in a combination of those two ways.3A contractor which provides essential services must include in the records referred to in paragraph (1), clinical reports sent in accordance with paragraph 7 of Schedule 2 or from any other health care professional who has provided clinical services to a person on the contractor's list of patients.4The consent of NHS England required by paragraph (2)(b) may not be withheld or withdrawn provided NHS England is satisfied, and continues to be satisfied, that—athe computer system upon which the contractor proposes to keep the records meets the requirements set out in the GPIT Operating Model;bthe security measures, audit and system management functions incorporated into the computer system and compliant with the GPIT Operating Model have been enabled; andcthe contractor is aware of, and has signed an undertaking that it will have regard to, the guidelines contained in “Digital Primary Care: Good Practice Guidelines for GP electronic patient records – (GPGv5)”, published on 20th September 2023.5Where the patient's records are computerised records, the contractor must, as soon as possible following a request from NHS England, allow NHS England to access the information recorded on the computer system on which those records are held by means of the audit function referred to in paragraph (4)(b) to the extent necessary for NHS England to confirm that the audit function is enabled and functioning correctly.6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6AWhere a patient on a contractor’s list of patients has registered with another provider of primary medical services and the contractor receives a request from that provider for the complete records relating to that patient, the contractor must send to NHS England—athe complete records, or any part of the records, sent via the GP2GP facility in accordance with regulation 62 for which the contractor does not receive confirmation of safe and effective transfer via that facility; andbany part of the records held by the contractor only in paper form.6BWhere a patient on a contractor’s list of patients—ais removed from that list at that patient’s request under paragraph 22 of Schedule 2, or by reason of the application of any of paragraphs 23 to 30 of that Schedule; andbthe contractor has not received a request from another provider of medical services with which that patient has registered for the transfer of the complete records relating to that patient,the contractor must send a copy of those records to NHS England.6CWhere a contractor’s responsibility for a patient terminates in accordance with paragraph 31 of Schedule 2, the contractor must send any records relating to that patient that it holds to—aif known, the provider of primary medical services with which that patient is registered; orbin all other cases, NHS England.6DFor the purposes of this regulation, “GP2GP facility” has the same meaning as in paragraph (2) of regulation 62.7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9A contractor whose patient records are computerised records must not disable, or attempt to disable, either the security measures or the audit system management functions referred to in paragraph (4)(b).10In this regulation, “computerised records” means records created by way of entries on a computer.60A1This regulation applies if a contractor, or a person acting on behalf of a contractor, makes a request to a patient (“P”) for P to disclose their ethnicity to the contractor so that information can be recorded in P’s medical record (a “relevant request”).2If P, or where P is a person to whom paragraph (4) applies, an appropriate person acting on behalf of P, discloses P’s ethnicity in response to the relevant request, the contractor must record P’s ethnicity in P’s medical record.3If P, or where P is a person to whom paragraph (4) applies, an appropriate person acting on behalf of P, indicates that they would prefer not to disclose P’s ethnicity in response to the relevant request, the contractor must record that response in P’s medical record.4This paragraph applies to a person if they—aare a child, orblack the capacity to respond to the relevant request.5Any information recorded in accordance with this regulation may only be processed if the processing is necessary for medical purposes.6Nothing in this regulation authorises the processing of personal data in a manner inconsistent with any provision of the data protection legislation.7In this regulation—...“data protection legislation”, “personal data” and “processing” have the same meanings as in the Data Protection Act 2018 (see section 3 of that Act);“medical purposes” has the meaning given for the purposes of section 251 of the Act.611A contractor which provides essential services must, in any case where there is a change to the information included in a patient's medical record, enable the automated upload of summary information to the Summary Care Record, when the change occurs, using approved systems provided to it by NHS England.2In this regulation—“Summary Care Record” means the system approved by NHS England for the automated uploading, storing and displaying of patient data relating to medications, allergies, adverse reactions and, where agreed with the contractor and subject to the patient's consent, any other data (other than any information recorded in accordance with regulation 60A) or any information about ethnicity provided under regulation 64C taken from the patient's electronic record; and“summary information” means items of patient data that comprise the Summary Care Record.61A1Where the contractor holds a patient’s record on its computerised clinical systems, the contractor must ensure that its computerised clinical systems are configured to enable—aGP Connect Access Record HTML and GP Connect Access Record Structured; andbGP Connect Update Record.2A contractor must take all reasonable steps to ensure that the functionality referred to in paragraph (1) is operational at all times.3In this regulation—“GP Connect” means the national service known as GP Connect provided by NHS England which facilitates interconnectivity between computerised clinical systems;“GP Connect Access Record HTML” means the functionality within GP Connect that allows records to be viewed in Hypertext Markup Language by other users of GP Connect for the purpose of direct care to a patient;“GP Connect Access Record Structured” means the functionality within GP Connect that allows records to be viewed in a structured and coded format that is machine readable by other users of GP Connect for the purpose of direct care to a patient;“GP Connect Update Record” means the functionality within GP Connect that allows consultation summaries to be sent electronically to the contractor by other users of GP Connect for integration into the patient’s record; and“patient’s record” means computerised records kept in relation to a patient in accordance with regulation 60(2)(b).621A contractor which provides essential services must use the facility known as “GP2GP” for the safe and effective transfer of any patient records—ain a case where a new patient registers with the contractor's practice, to the contractor's practice from another provider of primary medical services (if any) with which the patient was previously registered; orbin a case where the contractor receives a request from another provider of primary medical services with which the patient has registered, in order to respond to that request.2In this regulation, “GP2GP facility” means the facility provided by NHS England to a contractor's practice which enables the electronic health records of a registered patient which are held on the computerised clinical systems of the contractor's practice to be transferred securely and directly to another provider of primary medical services with which the patient has registered.3The requirements of this regulation do not apply in the case of a temporary resident.62A1This regulation applies where—aa patient on a contractor’s list of patients has registered with another provider of primary medical services, andbthe contractor receives a request from that provider for the complete records relating to that patient.2The contractor must, before the end of the period of 28 days beginning with the day on which it receives the request from the provider—asend the complete records (other than any part of the records held only in paper form) to the provider via the GP2GP facility in accordance with regulation 62, andbsend to NHS England in accordance with regulation 60(6A), the complete records, or any part of the records—ifor which the contractor does not receive a confirmation, oriiheld only in paper form.3In this regulation—“confirmation”, in relation to records sent via the GP2GP facility, means confirmation of safe and effective transfer via that facility;“GP2P facility” has the same meaning as in paragraph (2) of regulation 62.631A contractor must include the NHS number of a registered patient as the primary identifier in all clinical correspondence issued by the contractor which relates to that patient.2The requirement in paragraph (1) does not apply where, in exceptional circumstances outside of the contractor's control, it is not possible for the contractor to ascertain the patient's NHS number.3In this regulation—“clinical correspondence” means all correspondence in writing, whether in electronic form or otherwise, between the contractor and other health service providers concerning or arising out of the provision of a remote service or patient attendance and treatment at practice premises including referrals made by letter or by any other means; and“NHS number”, in relation to a registered patient, means the number, consisting of ten numeric digits, which serves as the national unique identifier used for the purpose of safely, efficiently and accurately sharing information relating to that patient across the whole of the health service in England.63A1Where a contractor can transmit information by electronic means (other than facsimile transmission) securely and directly to a relevant person, the contractor must not—atransmit any information to that person by facsimile transmission, orbagree to receive any information from that person by facsimile transmission.2Paragraph (1) does not apply to any information which relates solely to the provision of clinical services or treatment to a patient under a private arrangement.3In this regulation, “relevant person” means—aan NHS body,banother health service provider,ca patient, orda person acting on behalf of a patient.641A contractor which provides essential services must promote and offer to its registered patients the facility for a patient to—abook, view, amend, cancel and print appointments online;border repeat prescriptions for drugs, medicines or appliances online; andcview and print a list of any drugs, medicines or appliances in respect of which the patient has a repeat prescription,in a manner which is capable of being electronically integrated with the computerised clinical systems of the contractor's practice using appropriate systems authorised by NHS England.2The requirements in paragraph (1) do not apply where the contractor does not have access to computer systems and software which would enable it to offer the online services described in that paragraph to its registered patients.3A contractor must when complying with the requirements in paragraph (1)(a)—aensure that all of its directly bookable appointments are made available for online booking, whether or not those appointments are booked online, by telephone or in person, to include all appointments which must be made available for direct booking by NHS 111 in accordance with paragraph 16B of Part 2 of Schedule 2 to these Regulations; andbconsider whether it is necessary, in order to meet the needs of its registered patients, to increase the proportion of appointments which are available for its registered patients to book online and, if so, increase that number.3AIn the case of appointments required to be made available for direct booking by NHS 111, in accordance with paragraph 16B of Part 2 of Schedule 2 to these Regulations, those appointments can be released to be booked by a contractor’s registered patients by any means in the two hour period within core hours prior to the appointment time, or such other period agreed pursuant to a local arrangement, if they have not been booked by NHS 111 prior to this time.4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8... The contractor must also promote and offer to its registered patients the facility referred to in paragraph (1)(a) and (b) on the home page (or equivalent) of its practice website or online practice profile.9In this regulation—a“local arrangement” means an arrangement between the contractor and NHS England as to the timeframe within which appointments not booked by NHS 111 can be released for booking by the contractor’s registered patients; andb. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64ZA1Where the contractor holds the medical record of a registered patient (“P”) on its computerised clinical systems, the contractor must—aprovide P with the facility to access online information entered onto P’s medical record on or after the relevant date (the “prospective medical record”); andbpromote and offer to P, in accordance with paragraph (2), the facility to access online the information from P’s medical record held in coded form.2For the purposes of paragraph (1)(b), the contractor is taken to be—apromoting the facility to P where P is encouraged to utilise the practice’s digital services and to interact with the practice via online access;boffering the facility to P where it is freely available to P if P shows interest in the facility or requests access in writing to their medical records held in coded form.3Where a person (“R”) applies to become a registered patient of the contractor, the contractor must, as part of the registration process—amake information available to R about the practice’s digital services and about how R may interact with the practice via online access; andbinform R in writing that on becoming a registered patient, R will be provided with the facility to access R’s prospective medical record (unless R chooses not to be provided with that facility).4The contractor must configure its computerised clinical systems so as to allow its registered patients the facility to access online information entered onto their medical record.5In this regulation, “relevant date” means—aif the contractor has not provided P with the facility to access online P’s prospective medical record under this regulation as in force immediately before 15th May 2023, the day on which the contractor does provide the facility under paragraph (1)(a); orb31st October 2023,whichever is the earlier.6Where—athe contractor has not, before 15th May 2023, provided P with the facility to access online P’s prospective medical record; andbP makes a request in writing to the contractor on or after 15th May 2023 but before 31st October 2023, to be provided with that facility,the contractor must provide that facility to P by the end of the compliance period or by 31st October 2023 whichever is the earlier.7Where—athe contractor has not, before 1st November 2023, for whatever reason, provided P with the facility to access online P’s prospective medical record; andbP makes a request in writing to the contractor on or after 31st October 2023 to be provided with that facility,the contractor must provide P with that facility by the end of the compliance period.8Subject to paragraph (9), the contractor must not remove the facility of a registered patient to access online their medical record provided under—athis regulation as in force immediately before 15th May 2023; orbparagraph (1).9Nothing in this regulation requires the contractor to provide P with the facility to access—aonline information entered onto the medical record where that information is excepted information;bonline information entered onto P’s prospective medical record where P has informed the contractor that they do not, or no longer, wish to be provided with that facility; orcinformation referred to in paragraph (1)(b) which the contractor’s computerised systems cannot separate from any free-text entry in P’s medical record.10For the purposes of this regulation and regulation 64ZB—a“the compliance period” means the period specified in Article 12 of the UK GDPR for compliance with a request made in exercise of a right under Article 15 of the UK GDPR;binformation is “excepted information” if the contractor would not be required to disclose it in response to a request made in exercise of a right under Article 15 of the UK GDPR.11For the purposes of paragraph (10), “UK GDPR” has the meaning given in section 3(10) of the Data Protection Act 2018.64ZB1A contractor must provide a registered patient (“P”) with the facility to access online relevant medical information if—aits computerised clinical systems ... allow it to do so, andbP requests, in writing, that it provide that facility.1AWhere P makes a request under paragraph (1)(b), the contractor must provide P with the facility by the end of the compliance period.1BThe contractor must configure its computerised clinical systems so as to allow its registered patients the facility to access online their relevant medical information.2In this regulation “relevant medical information” means any information entered on P’s medical record other than—aany information which P can access online via a facility provided in accordance with regulation 64ZA(1), orbany excepted information.64ZC1A contractor must offer and promote to its registered patients a facility for providing their personal or contact information, or informing the contractor of a change to that information, which meets the condition in paragraph (2).2A facility meets the condition in this paragraph if it enables—aP, orbwhere P is a person to whom paragraph (3) applies, an appropriate person acting on behalf of P,to provide the contractor with, or inform it of any change to, P’s personal or contact information in P’s medical record, either online or by other electronic means.3This paragraph applies to a person if they—aare a child, orblack the capacity to provide the contractor with their personal or contact information or to authorise a person to provide such information on their behalf.4For the purposes of this regulation, P’s personal and contact information is—atheir name;btheir ethnicity;ctheir address;dtheir telephone number or mobile telephone number (if any);etheir electronic mail address (if any).64ZD1A contractor must offer and promote an online consultation tool to its registered patients.2An “online consultation tool” is an online facility provided using appropriate software—athrough which—ia patient, oriiwhere the patient is a person to whom paragraph (4) applies, an appropriate person acting on behalf of the patient,may, in writing in electronic form, seek advice or information related to the patient’s health or make a clinical or administrative request, butbwhich does not require the response to be given by the contractor in real time.3An online consultation tool may incorporate—aany of the facilities which the contractor is required to offer , promote or, as the case may be, provide under regulations 64 to 64ZC, orbthe communication method which the contractor is required to offer and promote under regulation 64ZE.4This paragraph applies to a person if they—aare a child, orblack the capacity to communicate with the contractor through an online facility or to authorise a person to communicate with the contractor through such a facility on their behalf.64ZE1A contractor must—aoffer and promote to its registered patients a relevant electronic communication method, andbuse the relevant electronic communication method to communicate with—ia registered patient, oriiwhere the registered patient is a person to whom paragraph (4) applies, an appropriate person acting on behalf of the patient.2But paragraph (1)(b) does not require the contractor to use the relevant electronic communication method where—ait would not be clinically appropriate to do so for the patient on that occasion, orbit is otherwise not appropriate to the needs or circumstances of the patient.3For the purposes of this regulation, a “relevant electronic communication method” is a method of electronic communication which is provided using appropriate software and which can be used—aby the contractor to respond, in writing in electronic form, to requests made through the online consultation tool, andbby the contractor and its registered patients or appropriate persons acting on behalf of registered patients (as the case may be) to otherwise communicate with each other, in writing in electronic form.4This paragraph applies to a person if they—aare a child, orblack the capacity to communicate with the contractor using the relevant electronic communication method or to authorise a person to do so on their behalf.64ZF1A contractor must offer and promote to its registered patients the facility of participating in their consultations with the contractor by video conference provided using appropriate software (“video consultations”).2But paragraph (1) does not require the contractor to offer a patient a video consultation where—ait would not be clinically appropriate to do so for the patient on that occasion, orbit is otherwise not appropriate to the needs or circumstances of the patient.3The contractor must not be party to a contract or other arrangement under which the software mentioned in paragraph (1) is provided unless—ait is satisfied that any software which a patient needs to participate in a video consultation with the contractor’s practice is available free of charge to the patient, andbit has taken reasonable steps, having regard to the arrangement as a whole and disregarding the costs of any software, to satisfy itself that patients will not have to pay more to participate in video consultations with the contractor’s practice than they would to participate in a meeting by video conference with any other person in the contractor’s area.64ZG1For the purposes of regulations 64ZD, 64ZE and 64ZF software which is used to provide a method of communication or facility (as the case may be) is appropriate if the software meets—athe requirements in the GPIT Operating Model relevant to that software, orbrequirements which are equivalent in their effect to the relevant requirements in the GPIT Operating Model.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64A1This regulation applies to any contractor which has less than ten per cent of its registered patients registered with the contractor’s practice to use the online services which the contractor is required under regulation 64 or regulation 64ZA(1) or (2) to promote, offer or, as the case may be, provide to its registered patients (“patient online services”).2A contractor to which this regulation applies must agree a plan with NHS England aimed at increasing the percentage of the contractor’s registered patients who are registered with the contractor’s practice to use patient online services.64BA contractor must ensure that all of its directly bookable appointments are made available for booking by telephone or in person.65The contractor must nominate a person with responsibility for practices and procedures relating to the confidentiality of personal data held by it.661A contractor must have—aa practice website, orban online practice profile.2The contractor must publish on its practice website or profile (as the case may be) all the information which is required to be included in its practice leaflet.3The contractor must publish that information otherwise than by making its practice leaflet available for viewing or downloading.4The contractor must review the information available on its practice website or profile at least once in every period of 12 months.5The contractor must make any amendments necessary to maintain the accuracy of the information on its website or profile following—aa review under paragraph (4);ba change to—ithe address of any of the contractor’s practice premises,iithe contractor’s telephone number,iiithe contractor’s electronic-mail address (if made available on its website or profile), orivany other stated means by which a patient may contact the contractor to book or amend an appointment, or to order repeat prescriptions for drugs, medicines or appliances.5AThe contractor must also ensure there are links on its website or profile which direct people to—aits online consultation tool, ...bthe symptom checker and self-care information available on the NHS website , andcthe General Practice Patient Guidance published on the NHS England website.5BThe links mentioned in paragraph (5A) must be displayed prominently on the home page (or equivalent) of its website or profile (as the case may be).6The requirements in this regulation are in addition to those in regulation 21 and paragraph 15(8) of Schedule 2.7In these Regulations, “online practice profile” means a profile—awhich is on a website (other than the NHS website), or an online platform, provided by another person for use by a contractor, andbthrough which the contractor advertises the primary medical services it provides.66A1A contractor must review the information available on its profile page on the NHS website at least once in every period of 12 months.2The contractor must make any amendments necessary to maintain the accuracy of the information its profile page following—aa review under paragraph (1);ba change to—ithe address of any of the contractor’s practice premises,iithe contractor’s telephone number,iiithe contractor’s electronic-mail address (if made available on its profile page), orivany other stated means by which a patient may contact the contractor to book or amend an appointment, or to order repeat prescriptions for drugs, medicines or appliances.671Subject to paragraph (2), the contractor must, at the request of NHS England, produce to NHS England, or to a person authorised in writing by NHS England, or allow NHS England, or a person authorised in writing by NHS England, to access—aany information which is reasonably required by NHS England for the purposes of or in connection with the agreement; andbany other information which is reasonably required in connection with NHS England’s functions.2The contractor is not be required to comply with any request made under paragraph (1) unless it has been made by NHS England in accordance with directions relating to the provision of information by contractors given to it by the Secretary of State under section 98A of the Act (exercise of functions).3The contractor must produce the information requested, or, as the case may be, allow NHS England, or a person authorised by NHS England, access to such information—aby such date as has been agreed as reasonable between the contractor and NHS England; orbin the absence of such agreement, before the end of the period of 28 days beginning with the date on which the request is made.67A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67B1A contractor must record any data required by NHS England for the purposes of the National Diabetes Audit in accordance with paragraph (2).2The data recorded under paragraph (1) must be appropriately coded by the contractor and uploaded onto the contractor’s computerised clinical systems in accordance with the requirements of guidance published by NHS Employers for these purposes.3The contractor must ensure that the coded data is uploaded onto its computerised clinical systems and available for collection by NHS England at such intervals during each financial year as are notified to the contractor by NHS England.67CA contractor must allow the extraction from the contractor’s computerised clinical systems by NHS England of the information specified in the Table relating to clinical indicators which are no longer in the Quality and Outcomes Framework at such intervals during each financial year as are notified to the contractor by NHS England.Quality and Outcomes Framework – indicators no longer in the Quality and Outcomes FrameworkIndicator IDIndicator Description. . .CHD003The percentage of patients with coronary heart disease whose last measured cholesterol (measured in the preceding 12 months) is 5 mmol/l or lessCKD002The percentage of patients on the CKD register in whom the last blood pressure reading (measured in the preceding 12 months) is 140/85 mmHg or lessCKD004The percentage of patients on the CKD register whose notes have a record of a urine albumin: creatinine ratio (or protein: creatinine ratio) test in the preceding 12 monthsNM84The percentage of patients on the CKD register with hypertension and proteinuria who are currently treated with renin-angiotensin system antagonistsCVD-PP002The percentage of patients diagnosed with hypertension (diagnosed after or on 1st April 2009) who are given lifestyle advice in the preceding 12 months for: smoking cessation, safe alcohol consumption and healthy dietDM005The percentage of patients with diabetes, on the register, who have a record of an albumin: creatinine ratio test in the preceding 12 monthsDMO11The percentage of patients with diabetes, on the register, who have a record of retinal screening in the preceding 12 monthsEP002The percentage of patients 18 or over on drug treatment for epilepsy who have been seizure free for the last 12 months recorded in the preceding 12 monthsEP003The percentage of women aged 18 or over and who have not attained the age of 55 who are taking antiepileptic drugs who have a record of information and counselling about contraception, conception and pregnancy in the preceding 12 monthsLD002The percentage of patients on the learning disability register with Down’s syndrome aged 18 or over who have a record of blood TSH in the preceding 12 monthsMH004The percentage of patients aged 40 or over with schizophrenia, bipolar affective disorder and other psychoses who have a record of total cholesterol: hdl ratio in the preceding 12 months. . .. . .MH007The percentage of patients with schizophrenia, bipolar affective disorder and other psychoses who have a record of alcohol consumption in the preceding 12 monthsMH008The percentage of women aged 25 or over and who have not attained the age of 65 with schizophrenia, bipolar affective disorder and other psychoses whose notes record that a cervical screening test has been performed in the preceding 5 yearsPAD002The percentage of patients with peripheral arterial disease in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or lessPAD003The percentage of patients with peripheral arterial disease in whom the last measured total cholesterol (measured in the preceding 12 months) is 5 mmol/l or lessPAD004The percentage of patients with peripheral arterial disease with a record in the preceding 12 months that aspirin or an alternative anti-platelet is being takenRA003The percentage of patients with rheumatoid arthritis aged 30 or over and who have not attained the age of 85 who have had a cardiovascular risk assessment using a CVD risk assessment tool adjusted for RA in the preceding 12 monthsRA004The percentage of patients aged 50 or over and who have not attained the age of 91 with rheumatoid arthritis who have had an assessment of fracture risk using a risk assessment toll adjusted for RA in the preceding 24 monthsSMOK001The percentage of patients aged 15 or over whose notes record smoking status in the preceding 24 monthsSTIA005The percentage of patients with a stroke shown to be non-haemorrhagic, or a history of TIA whose last measured total cholesterol (measured in the preceding 12 months) is 5 mmol/l or lessTHY001The contractor establishes and maintains a register of patients with hypothyroidism who are currently treated with levothyroxineTHY002The percentage of patients with hypothyroidism, on the register, with thyroid function tests recorded in the preceding 12 months67D1A contractor must allow the extraction by NHS England of the information specified in—aparagraph (2) in relation to alcohol related risk reduction; andbparagraph (3) in relation to dementia diagnosis and treatment,from the record that the contractor is required to keep in respect of each registered patient under regulation 60 by such means, and at such intervals during each financial year, as are notified to the contractor by NHS England.2The information specified in this paragraph is information required in connection with the requirements under paragraph 14 of Schedule 2.3The information specified in this paragraph is information relating to any clinical interventions provided by the contractor in the preceding 12 months in respect of a patient who is suffering from, or who is at risk of suffering from, dementia.67E1A contractor must record and submit any data required by NHS England for the purposes of the NHS Workforce Collection (known as the “Workforce Minimum Data Set”) in accordance with paragraph (2).2The data referred to in paragraph (1) must be—aappropriately coded, reviewed and updated by the contractor in line with agreed standards set out in guidance published by NHS England;bsubmitted to NHS England—iusing the data entry module on the National Workforce Reporting Service, which is a facility provided by NHS England to the contractor for this purpose; andiiat such intervals during the financial year as are notified to the contractor by NHS England.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67F1A contractor must—arecord the information specified in paragraph (2) relating to overseas visitors, where that information has been provided to it by a newly registered patient on a form supplied to the contractor by NHS England for this purpose; andbwhere applicable in the case of a patient, record the fact that the patient is the holder of a document—iwhich is—aaa European Health Insurance Card;bban S1 Healthcare Certificate; orcca document which, for the purposes of a listed healthcare arrangement as defined in regulation 1(3) of the Healthcare (European Economic Area and Switzerland Arrangements) (EU Exit) Regulations 2019, is treated as equivalent to a document referred to in sub-paragraph (aa) (“EHIC equivalent document”) or (bb) (“S1 equivalent document”); andiiwhich has not been issued to or in respect of the patient by the United Kingdom,in the medical record that the contractor is required to keep under regulation 60 in respect of the patient.2The information specified in this paragraph is—ain the case of a patient who holds a European Health Insurance Card or EHIC equivalent document which has not been issued to the patient by the United Kingdom, the information contained on that card or document in respect of the patient; andbin the case of a patient who holds a Provisional Replacement Certificate issued in respect of the patient’s European Health Insurance Card, the information contained on that certificate in respect of the patient.3The information referred to in paragraph (2) must be submitted by the contractor to NHS England—aelectronically at nhsdigital.costrecovery@nhs.net;bby post in hard copy form to EHIC, PDS NBO, NHS Digital, Smedley Hydro, Trafalgar Road, Southport, Merseyside, PR8 2HH.4Where the patient is the holder of an S1 Healthcare Certificate or S1 equivalent document, the contractor must send that certificate or document, or a copy of that certificate or document, to the the NHS Business Services Authority—aelectronically to nhsbsa.faregistrationsohs@nhs.net, orbby post in hard copy form to Cost Recovery, Overseas Healthcare Service, Bridge House, 152 Pilgrim Street, Newcastle Upon Tyne, NE1 6SN.67GA contractor must—aprovide to the Medicines and Healthcare products Regulatory Agency (“the MHRA”) on request, an electronic mail address which is registered to the contractor’s practice;bmonitor that address;cif that address ceases to be registered to the practice, notify the MHRA immediately of its new electronic mail address; anddprovide to the MHRA on request, one or more mobile telephone numbers for use in the event the contractor is unable to receive electronic mail.67H1A contractor must participate in the collection of anonymised data relating to appointments for its registered patients (“GP practice data”) in accordance with the “GP Appointments Data Collection in Support of Winter Pressures” referred to in the Health and Social Care Information Centre (Establishment of Information Systems for NHS Services: General Practice Appointments Data Collection in Support of Winter Pressures) Directions 2017 (the functions of the Health and Social Care Information Centre under the Directions were transferred to NHS England by the Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023).2The contractor must ensure that all GP practice data relating to the provision of primary medical services under its contract is recorded within the appointment book in accordance with the guidance.3The contractor must ensure that the GP practice data is uploaded onto its computerised clinical systems and available for collection by NHS England at such intervals during each financial year as notified to the contractor by NHS England.4For the purposes of this regulation, “appointment book” means a capability provided by the contractor’s computerised clinical systems and software supplier which supports the administration, scheduling, resourcing and reporting of appointments.67IA contractor must submit to NHS England such anonymised data relating to the use of its online consultation tool and video consultation facility as NHS England may require.67J1The contractor must register for, and maintain an account with, the LFPSE Service that has administrator rights.2In this regulation, “LFPSE Service” refers to the centralised system provided by NHS England to record information and provide data and analysis about events involving patient safety.681The contractor must, subject to paragraphs (2) and (3), sufficiently answer any inquiries, whether oral or in writing, from NHS England concerning—aany prescription form or repeatable prescription form issued or created by a prescriber;bthe considerations by reference to which prescribers issue such forms;cthe referral by or on behalf of the contractor of any patient to any other services provided under the Act; ordthe considerations by which the contractor makes such referrals or provides for them to be made on its behalf.2An inquiry referred to in paragraph (1) may only be made for the purpose of obtaining information to assist NHS England to discharge its functions, or of assisting the contractor in the discharge of its obligations, under the agreement.3The contractor is not obliged to answer any inquiry referred to in paragraph (1) unless it is made—ain the case of paragraph (1)(a) or (b), by an appropriately qualified health care professional; orbin the case of paragraph (1)(c) or (d), by an appropriately qualified medical practitioner.4The appropriately qualified person referred to in paragraph (3)(a) or (b) must —abe appointed by NHS England to assist it in the exercise of NHS England’s functions under this regulation; andbproduce on request, written evidence that they are authorised by NHS England to make such an inquiry on NHS England’s behalf.691The contractor must, if satisfied that the patient consents—asupply in writing to any person specified in paragraph (3), (a “relevant person”), before the end of such reasonable period as that person may specify, such clinical information as any of the persons mentioned in paragraph (3)(a) to (d) considers relevant about a patient to whom the contractor, or a person acting on behalf of the contractor, has issued or has refused to issue a medical certificate; andbanswer any inquiries by a relevant person about—ia prescription form or medical certificate issued or created by, or on behalf of, the contractor; oriiany statement which the contractor, or a person acting on behalf of the contractor, has made in a report.2For the purposes of being satisfied that a patient consents, a contractor may rely on an assurance in writing from a relevant person that the consent of the patient has been obtained, unless the contractor has reason to believe that the patient does not consent.3For the purposes of this regulation, a “relevant person” is—aa medical officer;ba nursing officer;can occupational therapist;da physiotherapist; orean officer of the Department for Work and Pensions who is acting on behalf of, and at the direction of, any person specified in sub-paragraphs (a) to (d).4In this regulation—“medical officer” means a medical practitioner who is—employed or engaged by the Department for Work and Pensions; orprovided by an organisation under a contract entered into with the Secretary of State for Work and Pensions;“nursing officer” means a health care professional who is registered on the Nursing and Midwifery Register and who is—employed by the Department for Work and Pensions; orprovided by an organisation under a contract with the Secretary of State for Work and Pensions;“occupational therapist” means a health care professional who is registered in the part of the register maintained by the Health Professions Council under article 5 of the Health Professions Order 2001 (establishment and maintenance of register) relating to occupational therapists and who is—employed or engaged by the Department for Work and Pensions; orprovided by an organisation under a contact entered into with the Secretary of State for Work and Pensions; and“physiotherapist” means a health care professional who is registered in the part of the register maintained by the Health Professions Council under article 5 of the Health Professions Order 2001 (establishment and maintenance of register) relating to physiotherapists and who is—employed or engaged by the Department for Work and Pensions; orprovided by an organisation under a contract entered into with the Secretary of State for Work and Pensions.701The contractor must submit to NHS England an annual return relating to the agreement which must require the same categories of information to be provided by all persons who hold agreements with NHS England and make available to NHS England a digital practice area map.2NHS England may request a return relating to the agreement at any time during each financial year in relation to such period (not including any period covered by a previous annual return) as may be specified in the request.3The contractor must submit the completed return and make available the digital practice area map to NHS England—aby such date as has been agreed as reasonable between the contractor and NHS England; orbin the absence of such agreement, before the end of the period of 28 days beginning with the date on which the request was made.4Following receipt of the return referred to in paragraph (1), NHS England must arrange with the contractor an annual review of its performance in relation to the agreement.5NHS England must prepare a draft record of the review referred to in paragraph (2) for comment by the contractor and, having regard to such comments, must produce a final written record of the review.6NHS England must send a copy of the final record of the review referred to in paragraph (5) to the contractor.711A contractor which provides essential services must compile a document (a “practice leaflet”) which must include the information specified in Part 6 of Schedule 2.2The contractor must review its practice leaflet at least once in every period of 12 months and make any amendments necessary to maintain its accuracy.3The contractor must make available a copy of the leaflet, and any subsequent updates, to its patients and prospective patients.PART 12721The contractor must establish and operate a complaints procedure to deal with complaints made in relation to any matter that is reasonably connected with the provision of services under the agreement.2The complaints procedure must comply with the requirements of the Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 .731The contractor must co-operate with—athe investigation of any complaint made in relation to a matter that is reasonably connected with the provision of services under the agreement by—iNHS England, oriithe Health Service Commissioner; andbthe investigation of any complaint made by an NHS body or local authority which relates to a patient or former patient of the contractor.2In paragraph (1)—“NHS body” means—in relation to England and Wales, NHS England or an integrated care board; andin relation to England and Wales, Scotland and Northern Ireland, an NHS Trust, an NHS foundation trust, a Local Health Board, a Health Board a Health and Social Services Board or a Health and Social Services Trust;“local authority” means—a local authority within the meaning of section 1 of the Local Authority Social Services Act 1970 (local authorities);the Council of the Isles of Scilly; ...a council constituted under section 2 of the Local Government etc. (Scotland) Act 1994 (constitution of councils); or the council of a county or county borough in Wales; and“Health Service Commissioner” means the person appointed as Health Service Commissioner for England in accordance with section 1 of, and Schedule 1 to, the Health Service Commissioners Act 1993 (The Commissioner).3For the purposes of paragraph (1), co-operation includes—aanswering questions which are reasonably put to the contractor by NHS England;bproviding information relating to the complaint which is reasonably required by NHS England; andcattending any meeting held to consider the complaint (if held at a reasonably accessible place and at a reasonable hour and if due notice has been given) if the contractor's presence at the meeting is reasonably required by NHS England.PART 13741The contractor and NHS England must make reasonable efforts to communicate and co-operate with each other with a view to resolving any dispute which arises out of or in connection with the agreement before referring the dispute for determination in accordance with the NHS dispute resolution procedure (or, where applicable, before commencing court proceedings).2Paragraph (1) does not apply to a dispute relating to the assignment of patients to a closed list which falls to be dealt with under the NHS dispute resolution procedure by virtue of paragraph 41(1) of Schedule 2 where it is not practicable for the parties to attempt local resolution before the expiry of the period seven days specified in paragraph 41(4) of that Schedule.751Where an agreement is not an NHS contract, a dispute arising out of or in connection with the agreement, except any matter dealt with under the complaints procedure under Part 12, may be referred for consideration and determination by the Secretary of State—aif it relates to a period when the contractor was treated as a health service body, by the contractor or by NHS England; orbin any other case, by the contractor or, if the contractor agrees in writing, by NHS England.2Where a dispute is referred to the Secretary of State under paragraph (1)—athe procedure to be followed is the NHS dispute resolution procedure; andbthe parties agree to be bound by any determination made by the adjudicator.761The procedure specified in this regulation and in regulation 77 applies to a dispute arising out of or in connection with the agreement which is referred to the Secretary of State in accordance with—asection 9(6) of the Act (where the agreement is an NHS contract); orbregulation 75(1) (where the agreement is not an NHS contract).2The procedure referred to in paragraph (1) does not apply where the contractor refers a matter for determination in accordance with paragraph 38 of Schedule 2 and, in such a case, the procedure specified in that paragraph applies instead.3Where a party wants to refer a dispute for determination under the procedure specified in this regulation, it must send to the Secretary of State a written request for dispute resolution which must include or be accompanied by—athe names and addresses of the parties to the dispute;ba copy of the agreement; andca brief statement of the nature of, and circumstances giving rise to, the dispute.4Where a party wants to refer a dispute, it must send a request under paragraph (3) to the Secretary of State before the end of the period of three years beginning with the date on which the matter giving rise to the dispute occurred or should reasonably have come to the attention of that party.5Where the dispute relates to an agreement which is not an NHS contract, the Secretary of State may—adetermine the dispute; or,bif the Secretary of State considers it appropriate, appoint a person or persons to consider and determine the dispute.6Before reaching a decision about who should determine the dispute, either under paragraph (5) or under section 9(6) of the Act, the Secretary of State must send a written request to the parties, before the end of the period of seven days beginning with the date on which the dispute was referred, inviting them to make any written representations that they may wish to make about the matter under dispute before the end of a specified period.7The Secretary of State must give, with the notice given under paragraph (6), to a party other than the one who referred the matter for dispute resolution a copy of any document by which the matter was referred to dispute resolution.8The Secretary of State must—agive a copy of any representations received from a party to the other party to the dispute; andbin each case, request in writing a party to whom a copy of the representations is given to make, within a specified period, any written observations which that party may wish to make regarding those representations.9If the Secretary of State decides to appoint a person or persons (“the adjudicator”) to hear the dispute, the Secretary of State must—ainform the parties in writing of the name of the adjudicator whom the Secretary of State has appointed; andbpass to the adjudicator any documents received from the parties under or by virtue of paragraph (3), (6) or (8).10The Secretary of State must comply with the requirement in paragraph (9)—afollowing receipt of any representations received from the parties; orbif no such representations are received before the end of the period for making those representations specified in the request sent under paragraph (6) or (8), at the end of that period.11The adjudicator may, for the purpose of assisting in the consideration of the subject matter of the dispute—ainvite representatives of the parties to appear before, and make oral representations to, the adjudicator either together or, with the agreement of the parties, separately;bin advance of hearing any oral representations, provide the parties with a list of matters or questions that the adjudicator would like the parties to give special consideration to; orcconsult other persons whose expertise the adjudicator considers is likely assist in the consideration of the matter.12Where the adjudicator consults another person under paragraph (11)(c), the adjudicator must—agive notice in writing to the parties accordingly; andbwhere the adjudicator considers that the interests of any party might be substantially affected by the result of the consultation, give to the parties such opportunity as the adjudicator considers reasonable in the circumstances to make observations on those results.13In considering the matter, the adjudicator must have regard to—aany written representations made in response to a request under paragraph (6), but only if they are made before the end of the specified period;bany written observations made in response to a request under paragraph (8), but only if they are made before the end of the specified period;cany oral representations made in response to an invitation under paragraph (11)(a);dthe results of any consultation under paragraph (11)(c); andeany observations made in accordance with an opportunity given under paragraph (12).14In this regulation, “specified period” means—asuch period as the Secretary of State specifies in the request being a period of not less than two or not more than four weeks beginning with the date on which the notice referred to is given; orbsuch longer period as the Secretary of State may allow if the Secretary of State considers that there are good reasons for extending the period referred to in sub-paragraph (a) (even after that period has expired), and where the Secretary of State does so allow, a reference in this regulation to the specified period is to the period as so extended.15The adjudicator may determine the procedure which is to apply to the dispute resolution in such manner as the adjudicator considers appropriate in order to ensure the just, expeditious, economical and final determination of the dispute subject to—athe other provisions of this regulation;bregulation 77; andcany agreement between the parties.771The adjudicator's determination and the reasons for it must be recorded in writing and the adjudicator must give notice in writing of that determination (including the record of the reasons) to the parties.2Where the adjudicator makes a direction as to payments under section 9(6) of the Act (as it has effect as a result of section 9 of the Act or regulation 77(1), that direction is to be enforceable in a county court (if the court so orders) as if it were a judgement or order of the court.3Where a dispute is referred for determination in accordance with regulation 75(1)—asection 9(12) and (13) of the Act apply in the same manner as those provisions apply to an agreement referred for determination in accordance with section 9(6) and (7) of the Act; andb section 90(5) of the Act applies to any agreement which is not an NHS contract as if it were referred for determination in accordance with section 9(6) of the Act.781In this Part, “any dispute arising out of or in connection with the agreement” includes any dispute arising out of or in connection with the termination of the agreement.2A term of the agreement which makes provision in respect of the requirements of this Part is to survive even where the agreement has terminated.PART 14791The contractor must have in place an effective system of clinical governance which includes appropriate standard operating procedures in relation to the management and use of controlled drugs.2The contractor must nominate a person who is to have responsibility for ensuring the effective operation of the system of clinical governance.3The person nominated under paragraph (2) must be a person who performs or manages the performance of services under the agreement.4In this regulation—a“controlled drugs” has the meaning given in section 2 of the Misuse of Drugs Act 1971 (which relates to controlled drugs and their classification for the purposes of that Act); andb“system of clinical governance” means a framework through which the contractor endeavours continuously to improve the quality of its services and safeguards high standards of care by creating an environment in which clinical excellence can flourish.801A contractor which provides essential services must give all patients who use the contractor's practice the opportunity to provide feedback about the service received from the contractor's practice through the Friends and Family Test .2The contractor must—areport the results of completed Friends and Family Tests to NHS England; andbpublish the results of such completed Tests .3In this regulation, “Friends and Family Test” means the arrangements that a contractor which provides essential services is required by NHS England to implement to enable its patients to provide anonymous feedback about the patient experience at the contractor's practice.81The contractor must co-operate with NHS England in the discharge of any of NHS England’s obligations, or the obligations of NHS England’s accountable officers, under the Controlled Drugs (Supervision and Management of Use) Regulations 2013 .82The contractor must co-operate with—athe Secretary of State in the discharge of the Secretary of State's duty under section 1F of the Act (duty as to education and training); andbNHS England where NHS England is discharging the Secretary of State's duty under section 1F of the Act by virtue of its functions under section 97(1) of the Care Act 2014 (planning education and training for health workers etc.).831The contractor must at all times have in force in relation to it an indemnity arrangement which provides appropriate cover.2The contractor may not sub-contract its obligations to provide clinical services under the agreement unless it is satisfied that the sub-contractor has in force in relation to it an indemnity arrangement which provides appropriate cover.3In this regulation—a“appropriate cover” means cover against liabilities that may be incurred by the contractor in the performance of clinical services under the agreement, which is appropriate, having regard to the nature and extent of the risks in the performance of such services;b“indemnity arrangement” means a contract of insurance or other arrangement made for the purpose of indemnifying the contractor; andca contractor is to be regarded as holding insurance if it is held by a person employed or engaged by the contractor in connection with clinical services which that person provides under the agreement or, as the case may be, sub-contract.84The contractor must at all times hold adequate public liability insurance in relation to liabilities to third parties arising under or in connection with the agreement which are not covered by the indemnity agreement referred to in regulation 83.851The contractor must keep a register of gifts which—aare given to any of the persons specified in paragraph (2) by or on behalf of—ia patient,iia relative of a patient, oriiiany person who provided or would like to provide services to the contractor or its patients in connection with the agreement; andbhave, in the contractor's reasonable opinion, an individual value of more than £100.00.2The persons specified in this paragraph are—athe contractor;bwhere the agreement is with a qualifying body—iany person both legally and beneficially owning a share in the qualifying body, oriia director or secretary of the qualifying body;cany person employed by the contractor for the purposes of the agreement;dany general medical practitioner engaged by the contractor for the purposes of the agreement;eany spouse or civil partner of a contractor (where the contractor is an individual medical practitioner) or of a person specified in sub-paragraphs (b) to (d); orfany person whose relationship with a contractor (where the contractor is an individual medical practitioner) or with a person specified in sub-paragraphs (b) to (d) has the characteristics of the relationship between spouses.3Paragraph (1) does not apply where—athere are reasonable grounds for believing that the gift is unconnected with services provided or to be provided by the contractor;bthe contractor is not aware of the gift; orcthe contractor is not aware that the donor would like to provide services to the contractor or its patients.4The contractor must take reasonable steps to ensure that it is informed of any gifts which fall within paragraph (1) and which are given to the persons specified in paragraph (2)(b) to (f).5The register referred to in paragraph (1) must include the following information—athe name of the donor;bin a case where the donor is a patient, the patient's National Health Service number or, if the number is not known, the patient's address;cin any other case, the address of the donor;dthe nature of the gift;ethe estimated value of the gift; andfthe name of the person or persons who received the gift.6The contractor must make the register available to NHS England on request.86The contractor must—acomply with all relevant legislation; andbhave regard to all relevant guidance issued by NHS England, the Secretary of State or local authorities in respect of the exercise of their functions under the Act.87The agreement does not create any right enforceable by any person who is not a party to it.PART 15881This regulation applies to—athe exercise by NHS England of any of its functions under the 2004 Regulations on or before the commencement date;bany rights or liabilities of NHS England in respect of the exercise of any of its functions under the 2004 Regulations; andcany rights or liabilities of a Primary Care Trust transferred to NHS England as a consequence of a property transfer scheme made under section 300 of the Health and Social Care Act 2012 (transfer schemes).2Subject to paragraph (4), any act or omission concerning an agreement to which the 2004 Regulations applied immediately before the commencement date in respect of any of the matters specified in paragraph (1), is to be treated as an act or omission concerning an agreement to which these Regulations apply.3Subject to paragraph (4), anything which, on or before the commencement date, is done or is in the process of being done under the 2004 Regulations concerning an agreement to which the 2004 Regulations applied immediately before that date in respect of any of the matters specified in paragraph (1), is to be treated as if done or in the process of being done under these Regulations.4Notwithstanding paragraphs (2) and (3) and the revocations provided for by Schedule 4, where the 2004 Regulations contain a provision for which there is no equivalent provision in these Regulations (“the relevant provision”), the 2004 Regulations, as they were in force immediately before the commencement date are to continue to apply to the extent necessary for the purposes of—apreserving any rights conferred or liabilities accrued by or under the relevant provision; orbthe assessment or determination of any rights or liabilities arising under or in accordance with the relevant provision.5In this regulation—a“the commencement date” means the date on which these Regulations come into force;b“agreement” includes any agreement to which the 2004 Regulations applied immediately before the commencement date under which medical services were provided before 1st January 2005 (whether or not such services continued to be provided after that date); andcreferences to the exercise by NHS England of any of its functions include the exercise by NHS England of any functions of a Primary Care Trust under Part 4 of the Act.89Schedule 3 makes provision in respect of the amendment to secondary legislation which are consequential upon the coming into force of these Regulations.90Schedule 4 makes provision in respect of the revocation of the enactments specified in column 1 of the Table in that Schedule to the extent specified in column 2 of that Table.Signed on behalf of the Secretary of State for Health.Alistair Burt Minister of State,

Department of Health

SCHEDULE 1 Regulation 15

Description of medical certificate	Enactment under or for the purposes of which certificate is required
1To support a claim or to obtain a payment either personally or by proxy; to prove incapacity to work or for self-support for the purposes of an award by the Secretary of State; or to enable proxy to draw pensions etc.	Naval and Marine Pay and Pensions Act 1865 Air Force (Constitution) Act 1917 Pensions (Navy, Army, Air Force and Mercantile Marine) Act 1939 Personal Injuries (Emergency Provisions) Act 1939 Social Security Administration Act 1992 Social Security Contributions and Benefits Act 1992 Social Security Act 1998
. . .	. . .
3To secure registration of still-birth	Section 11 of the Births and Deaths Registration Act 1953 (special provision as to registration of still-birth)
4To enable payment to be made from an institution or other person in case of mental disorder of persons entitled to payment from public funds	Section 142 of the Mental Health Act 1983 (pay, pensions etc. of mentally disordered persons)
5To establish unfitness for jury service	Juries Act 1974
6To support late application for reinstatement in civil employment or notification on non-availability to take up employment owing to sickness	Reserve Forces (Safeguard of Employment) Act 1985
7To enable a person to be registered as an absent voter on grounds of physical incapacity	Representation of the People Act 1985
8To support applications for certificates conferring exemption from charges in respect of drugs, medicines and appliances	National Health Service Act 2006
9To support a claim by or on behalf of a severely mentally impaired person for exemption from liability to pay the Council Tax or eligibility for a discount of the amount of Council Tax payable	Local Government and Finance Act 1992

SCHEDULE 2 Regulation 27PART 11Where the agreement provides for a contractor to provide essential services, the contractor must—aprovide those services, and such other services that the contractor is required to provide to its patients, at such times, within core hours, as are appropriate to meet the reasonable needs of those patients; andbhave in place arrangements for the contractor's patients to access such services throughout the core hours in case of emergency.21The contractor must ensure that the premises used for the provision of services under the agreement are—asuitable for the delivery of those services; andbsufficient to meet the reasonable needs of the contractor's patients.2The requirement in sub-paragraph (1) is subject to any plan included in the agreement which sets out steps to be taken by the contractor to bring the premises up to the required standard.31The contractor must not be a party to a contract or other arrangement under which the number for telephone services (“relevant telephone services”) to be used by—apatients to contact the contractor's practice for a purpose related to the agreement; orbany other person to contact the contractor's practice in relation to services provided at the contractor's practice as part of the health service,starts with the digits 087, 090 or 091 or consists of a personal number, unless the service is provided free of charge to the caller.2In this paragraph, “personal number” means a telephone number which starts with 070 followed by a further eight digits.3The contractor must ensure that any new contract or other arrangement relating to relevant telephone services is procured under the Advanced Telephony Better Purchasing Framework.4Where NHS England requires, the contractor must make available to NHS England, within such reasonable time frame as specified by NHS England, such information as specified by NHS England that is available to the contractor in relation to the handling of calls under relevant telephone services.3A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41The contractor must not enter into, renew or extend a contract or other arrangement for telephone services unless it is satisfied that, having regard to the arrangement as a whole, persons will not have to pay more to make relevant calls to the contractor's practice than they would to make equivalent calls to a geographical number.2Where it has not been possible for the contractor to take reasonable steps to ensure that persons will not pay more to make relevant calls to the contractor's practice than they would to make equivalent calls to a geographical number, the contractor must consider introducing a system under which, if a caller asks to be called back, the contractor will do so at the contractor's own expense.3In this paragraph—“geographical number” means a number which has a geographical area code as its prefix; and“relevant calls” means—calls made by patients to the contractor's practice for any reason related to services provided at the contactor's practice under the agreement; andcalls made by persons, other than patients, to the contractor's practice in relation to services provided at the contractor's practice as part of the health service.51The contractor must take steps to ensure that all of the following means of contacting the practice are available for patients throughout core hours—aby attending the contractor’s practice premises;bby telephone; andcthrough the practice’s online consultation tool within the meaning given in regulation 64ZD(2).1AThe contractor must take steps to ensure that a patient who contacts the contractor through—aany of the means listed in sub-paragraph (1)(a) to (c); orba relevant electronic communication method within the meaning given in regulation 64ZE(3);is provided with an appropriate response in accordance with the following sub-paragraphs.2The appropriate response is that the contractor must—ainvite the patient for an appointment, either to attend the contractor’s practice premises or to participate in a telephone or video consultation, at a time which is appropriate and reasonable having regard to all the circumstances ...;bprovide appropriate advice or care to the patient by another method;cinvite the patient to make use of, or direct the patient towards, appropriate services which are available to the patient, including services which the patient may access themselves; ordcommunicate with the patient—ito request further information; oriias to when and how the patient will receive further information on the services that may be provided to them, having regard to the urgency of their clinical needs and other relevant circumstances.3The appropriate response must be provided—aif the contact ... is made outside core hours, during the following core hours;bin any other case, during the day on which the core hours fall.4The appropriate response must take into account—athe needs of the patient , including the need to avoid jeopardising the patient’s health; bwhere appropriate, the preferences of the patient ; and cany benefits to the patient of providing for continuity of the health care professional involved in their care and treatment.61Where the medical condition of a patient is such that, in the reasonable opinion of the contractor—aattendance on the patient is required; andbit would be inappropriate for the patient to attend the contractor's practice premises,the contractor must provide services to the patient at whichever of the places described in sub-paragraph (2) is, in the contractor's judgement, the most appropriate.2The places described in this sub-paragraph are—athe place recorded in the patient's medical records as being the patient's last home address;bsuch other place as the contractor has informed the patient and NHS England is the place where the contractor has agreed to visit and treat the patient; orcanother place in the contractor's practice area.3Nothing in this paragraph prevents the contractor from—aarranging for the referral of a patient without first seeing the patient, in any case where the patient's medical condition makes that course of action appropriate; orbvisiting the patient in circumstances where this paragraph does not place the contractor under an obligation to do so.71Where the contractor provides clinical services, other than under a private arrangement, to a patient who is not on its list of patients, the contractor must, as soon as reasonably practicable, provide to NHS England a clinical report relating to that consultation and any treatment provided to the patient.2NHS England must send a report received in accordance with sub-paragraph (1) to—ato the person with whom the patient is registered for the provision of essential services (or their equivalent); orbif the person referred to in paragraph (a) is not known to NHS England, or to the Local Health Board, Health Board or Health and Social Services Board, in whose area the patient is resident.3This paragraph does not apply in relation to the provision of out of hours services by a contractor which is, by virtue of regulation 22, required to comply with the quality standards or requirements referred to in that regulation.8The contractor must ensure that all—avaccines are stored in accordance with the manufacturer's instructions; andbrefrigerators in which vaccines are stored have a maximum/minimum thermometer and that temperature readings are taken on all working days.9The contractor must ensure that it has appropriate arrangements in place for infection control and decontamination.101Where a contractor does not provide to its registered patients or to persons whom it has accepted as temporary residents—aa particular service , except in relation to one provided under the Network Contract Directed Enhanced Service Scheme which is a scheme provided for by the Primary Medical Services (Directed Enhanced Services) Directions; orbout of hours services, either at all or in respect of some periods or some services,the contractor must comply with the requirements specified in sub-paragraph (2).2The requirements specified in this sub-paragraph are that the contractor must—aco-operate in so far as is reasonable with any person responsible for the provision of that service or those services;bcomply in core hours with any reasonable request for information from such a person or from NHS England relating to the provision of that service or those services; andcin the case of out of hours services—itake reasonable steps to ensure that any patient who contacts the contractor's practice ... during the out of hours period is provided with information about how to obtain services during that period;iiensure that the clinical details of all out of hours consultations received from the out of hours provider are reviewed by a clinician within the contractor's practice on the same working day as those details are received by the practice or, exceptionally, on the next working day;iiiensure that any information requests received from the out of hours provider in respect of any out of hours consultations are responded to by a clinician within the contractor's practice on the same day as those requests are received by the practice, or on the next working day;ivtake all reasonable steps to comply with any systems which the out of hours provider has in place to ensure the rapid, secure and effective transmission of patient data in respect of out of hours consultations; andvagree with the out of hours provider a system for the rapid, secure and effective transmission of information about registered patients who, due to chronic disease or terminal illness, are predicted as more likely to present themselves for treatment during the out of hours period.3Nothing in this paragraph requires a contractor whose agreement does not include the provision of out of hours services to make itself available during the out of hours period.10A1A contractor must comply with the requirements in sub-paragraph (2) where it is—asigned up to the Network Contract Directed Enhanced Scheme (“the Scheme”); orbnot signed up to the Scheme but its registered patients or temporary residents, are provided with services under the Scheme (“the services”) by a contractor which is a member of a primary care network.2The requirements specified in this sub-paragraph are that the contractor must—aco-operate, in so far as is reasonable, with any person responsible for the provision of the services;bcomply in core hours with any reasonable request for information from such a person or from NHS England relating to the provision of the services;chave due regard to guidance published by NHS England;dparticipate in primary care network meetings, in so far as is reasonable;etake reasonable steps to provide information to its registered patients about the services, including information on how to access the services and any changes to them; andfensure that it has in place suitable arrangements to enable the sharing of data to support the delivery of the services, business administration and analysis activities.3For the purposes of this paragraph, “primary care network” means a network of contractors and other providers of services which has been approved by NHS England, serving an identified geographical area ...10BWhen providing services under the agreement, the contractor must have due regard to the principles contained in section 343AA(1)(a) to (c) of the Armed Forces Act 2006 in relation to its patients and prospective patients.11Where a contractor is to cease to be required to provide to its patients—aa particular service; orbout of hours services, either at all or in respect of some periods or some services,the contractor must comply with any reasonable request for information relating to the provision of that service or those services made by NHS England or by any person with whom NHS England intends to enter into an agreement for the provision of such services.PART 212This Part only applies to a contractor which provides essential services.131NHS England must prepare and keep up to date a list of the patients who have been—aaccepted by the contractor for inclusion in the contractor’s list of patients under 17, 18, 18A, 31D or 31F and who have not been subsequently removed from that list under paragraphs 22 to 30; andbassigned by NHS England to the Contractor’s list of patients under—iparagraph 38(1)(a), oriiparagraph 38(1)(b) (by virtue of a determination of the assessment panel under paragraph 40(8) which has not subsequently been overturned by a determination of the Secretary of State under paragraph 41 or by a court).2The contractor must, upon receipt of a reasonable written request by NHS England—atake appropriate steps as soon as is reasonably practicable to correct and update patient data held on the practice’s computerised clinical systems, and where necessary register or deregister patients to ensure that the patient list is accurate; andbprovide information relating to its list of patients as soon as is reasonably practicable and, in any event, no later than 30 days from the date on which the request was received by the contractor, in order to assist NHS England in the exercise of its duties under paragraph (1), contacting patients where reasonably necessary to confirm that their patient data is correct.141Where a patient has been—aaccepted onto the contractor's list of patients; orbassigned to that list by NHS England,the contractor must take action to identify any such patient over the age of 16 who is drinking alcohol at increasing or higher risk levels with a view to seeking to reduce the alcohol related health risks to that patient.2The contractor must comply with the requirement in sub-paragraph (1) by screening the patient using either one of the two shortened versions of the World Health Organisation Alcohol Use Disorders Identification (“AUDIT”) questionnaires which are known as—aFAST (which has four questions); orbAUDIT-C (which has three questions).3Where, under sub-paragraph (2), the contractor identifies a patient as positive using either of the shortened versions of the AUDIT questionnaire specified in sub-paragraph (2), the remaining questions of the full ten question AUDIT questionnaire must be used by the contractor to determine increasing risk, higher risk or likely dependent drinking.4Where a patient is identified as drinking at increasing or higher risk levels, the contractor must—aoffer the patient appropriate advice and lifestyle counselling;brespond to any other need identified in the patient which relates to the patient's levels of drinking, including by providing any additional support or treatment required for people with mental health issues; andcin any case where the patient is identified as a dependent drinker, offer the patient a referral to such specialist services as are considered clinically appropriate to meet the needs of the patient.5Where a patient is identified as drinking at increasing or higher risk levels or as a dependent drinker, the contractor must ensure that the patient is—aassessed for anxiety and depression;boffered screening for anxiety or depression; andcwhere anxiety or depression is diagnosed, provided with any treatment and support which may be required under the agreement, including a referral for specialist mental health treatment.6The contractor must make relevant entries, including the results of the completed questionnaire referred to in sub-paragraph (2), in the patient's record that the contractor is required to keep under regulation 60.14A1A contractor must take steps each year to identify any registered patient aged 65 years and over who is living with moderate to severe frailty.2The contractor must comply with the requirement in sub-paragraph (1) by using the Electronic Frailty Index or any other appropriate assessment tool.3Where the contractor identifies a patient aged 65 years or over who is living with severe frailty, the contractor must—aundertake a clinical review in respect of the patient which includes—ian annual review of the patient’s medication, andiiwhere appropriate, a discussion with the patient about whether the patient has fallen in the last 12 months;bprovide the patient with any other clinically appropriate interventions; andcwhere the patient does not have an enriched Summary Care Record, advise the patient about the benefits of having an enriched Summary Care Record and activate that record at the patient’s request.4A contractor must, using codes agreed by NHS England for this purpose, record in the patient’s Summary Care Record any appropriate information relating to clinical interventions provided to a patient under this paragraph.151A contractor must ensure that for each of its registered patients (including those patients under the age of 16) there is assigned an accountable general medical practitioner (“accountable GP”).2The accountable GP must take lead responsibility for ensuring that any services which the contractor is required to provide under the agreement are, to the extent that their provision is considered necessary to meet the needs of the patient, coordinated and delivered to the patient.3The contractor must—ainform the patient, as soon as is reasonably practicable and in such manner as is considered appropriate by the contractor's practice, of the assignment to the patient of an accountable GP and must state the name and contact details of the accountable GP and the role and responsibilities of the accountable GP in respect of the patient;binform the patient as soon as any circumstances arise in which the accountable GP is not able, for any significant period, to carry out the duties of an accountable GP in respect of the patient; andcwhere the contractor's practice considers it to be necessary, assign a replacement accountable GP to the patient and inform the patient accordingly.4The contractor must comply with the requirement in sub-paragraph (3)(a) in the case of any person who is accepted by the contractor as a registered patient on or after the date on which these Regulations come into force, within 21 days from the date on which that person was so accepted.5The requirement in this paragraph does not apply to—aany patient of the contractor who is aged 75 or over, or who attains the age of 75, on or after the date on which these Regulations come into force; orbany other patient of the contractor if the contractor has been informed that the patient does not wish to have an accountable GP.6Where, under sub-paragraph (3)(a), the contractor informs a patient of the assignment to them of an accountable GP, the patient may express a preference as to which general medical practitioner within the contractor's practice the patient would like to have as the patient's accountable GP and, where such a preference has been expressed, the contractor must make reasonable efforts to accommodate the request.7Where, under sub-paragraph (5)(b), the contractor has been informed by or in relation to a patient that the patient does not wish to have an accountable GP, the contractor must record that fact in the patient's record that the contractor is required to keep under regulation 60.8The contractor must ... include information about the requirement to assign an accountable GP to each of its new and existing registered patients—aon the contractor's practice website or online practice profile; andbin the contractor's practice leaflet.9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161A contractor must ensure that for each of its registered patients aged 75 and over there is assigned an accountable general medical practitioner (“accountable GP”).2The accountable GP must—atake lead responsibility for ensuring that any services which the contractor is required to provide under the agreement are, to the extent that their provision is considered necessary to meet the needs of the patient, delivered to the patient;btake all reasonable steps to recognise and appropriately respond to the physical and psychological needs of the patient in a timely manner;censure that the patient receives a health check if, and within a reasonable period after, one has been requested; anddwork co-operatively with other health and social care professionals who may become involved in the care and treatment of the patient to ensure the delivery of a multi-disciplinary care package designed to meet the needs of the patient.3The contractor must—ainform the patient, in such manner as is considered appropriate by the contractor's practice, of the assignment to the patient of an accountable GP;bprovide the patient with the name and contact details of the accountable GP and information regarding the role and responsibilities of the accountable GP in respect of the patient;cinform the patient as soon as any circumstances arise in which the accountable GP is not able, for any significant period, to carry out the duties of an accountable GP in respect of the patient; anddwhere the contractor's practice considers it to be necessary, assign a replacement accountable GP to the patient and inform the patient accordingly.4The contractor must comply with the requirement in sub-paragraph (3)(a)—ain the case of any person aged 75 or over who is accepted by the contractor as a registered patient on or after the date on which these Regulations come into force, before the end of the period of 21 days beginning with the date on which that person is so accepted; orbin the case of a person who is included in the contractor's list of patients immediately before the date on which these Regulations come into force and who attains the age of 75 or over on or after that date, before the end of the period of 21 days after the date on which that person attained that age.5In this paragraph, “health check” means a consultation undertaken by the contractor in the course of which the contractor must make such inquiries and undertake such examinations of the patient as appear to it to be appropriate in all the circumstances.16A1Except in the case of a contractor to which sub-paragraph (2) or (3) applies, a contractor must require the use in its practice ... of the system for electronic referrals known as the NHS e-Referral Service (“e-RS”) in respect of each referral of any of its registered patients to a first consultant-led out-patient appointment for medical services under the Act in respect of which the facility to use e-RS is available.2This sub-paragraph applies to a contractor which does not yet have e-RS in place for use in the contractor’s practice ....3This sub-paragraph applies to a contractor which—ais experiencing technical or other practical difficulties which are preventing the use, or effective use, of e-RS in its practice ...; andbhas notified NHS England that this is the case.4A contractor to which sub-paragraph (2) applies must require the use in its practice ... of alternative means of referring its registered patients to a first consultant-led out-patient appointment for medical services under the Act until such time as the contractor has e-RS in place for use in its practice ....5A contractor to which sub-paragraph (3) applies—amust ensure that a plan is agreed between the contractor’s practice and NHS England for resolving the technical or other practical difficulties which are preventing the use, or effective use, of e-RS in the contractor’s practice ...; andbmust require the use in its practice ... of alternative means of referring its registered patients to a first consultant-led out-patient appointment for medical services under the Act until such time as those technical or other practical difficulties have been resolved to the satisfaction of NHS England.16B1A contractor must ensure that as a minimum the following number of appointments during core hours for its registered patients are made available per day for direct booking by or via a service (“a connected service”) approved by NHS England that is or may be accessed via NHS 111—aone, where a contractor has 3,000 registered patients or fewer; orbone for each whole 3,000 registered patients, where a contractor has more than 3,000 registered patients.2The requirements in sub-paragraphs (1) and (3) do not apply where—aNHS England and the contractor have agreed to suspend the requirements for operational reasons; orbthe contractor does not have access to computer systems and software which would enable it to offer the service described in sub-paragraph (1).3A contractor must—aconfigure its computerised systems to allow direct booking by NHS 111 or via a connected service;bmonitor its booking system for appointments booked by NHS 111 or via a connected service;cassess the Post Event Message received from NHS 111 or via a connected service in order to decide whether an alternative to the booked appointment should be arranged, such as a telephone call to the patient or an appointment with another healthcare professional and where appropriate, make those arrangements; anddco-operate with NHS England in its oversight of direct booking by NHS 111 or via a connected service by providing any information relating to direct booking by NHS 111 or via a connected service which is reasonably required by NHS England.4In this paragraph, “Post Event Message” means the electronic message which is sent to a contractor at the end of a telephone call to NHS 111 or to a connected service.5In order to assist in the management of a serious or potentially serious risk to human health arising as a consequence of a disease being, or in anticipation of a disease being imminently—apandemic; andba serious risk or potentially a serious risk to human health,NHS England may with the agreement of the Secretary of State make an announcement to the effect that the minimum numbers of appointments mentioned in paragraph (1) are modified in the circumstances specified (which may limit the area to which the modification relates), and for the duration of the period specified, in the announcement, and where NHS England does so, the minimum numbers are as so modified.171 Subject to sub-paragraph (1C), the contractor may, if the contractor's list of patients is open, accept an application for inclusion in that list made by or on behalf of any person (“the applicant”) whether or not that person is resident in the contractor's practice area or is included, at the time of the application, in the list of patients of another contractor or provider of primary medical services.1ANHS England may, following consultation with the Local Medical Committee (if any) for the area in which the contractor provides services under the contract, determine that in certain circumstances NHS England’s approval is required before a contractor accepts an application for inclusion in its list of patients in respect of a patient who resides outside the contractor’s practice area.1BWhere NHS England has made a determination in accordance with sub-paragraph (1A) it must set out the circumstances in which its approval is required in a notice to the contractor.1CWhere NHS England has made a determination in accordance with sub-paragraph (1A), a contractor may only accept an application for inclusion in its list of patients in respect of a person who resides outside the contractor’s practice area in the circumstances set out in a notice given under sub-paragraph (1B) with NHS England’s approval.2If the contractor's list of patients is closed, the contractor may only accept an application for inclusion in that list from a person who is an immediate family member of a registered patient whether or not that person is resident in the contractor's practice area or is included, at the time of the application, in the list of patients of another contractor or provider of primary medical services.3Subject to sub-paragraph (4), the contractor may only accept an application for inclusion in that list if it is—aan application on a form specified to the contractor by NHS England; orban application through the online registration service supplied to the contractor by NHS England.3AThe contractor must make available both application methods referred to in sub-paragraph (3).4An application may be made—awhere the patient is a child, on behalf of the patient by—ieither parent, or in the absence of both parents, the guardian or other adult who has care of the child,iia person duly authorised by a local authority to whose care the child has been committed under the Children Act 1989 , oriiia person duly authorised by a voluntary organisation by which the child is being accommodated under the provisions of the Children Act 1989; orbwhere the patient is an adult who lacks the capacity to make such an application, or to authorise such an application to be made on their behalf, by—ia relative of that person,iithe primary carer of that person,iiia donee of a lasting power of attorney granted by that person, oriva deputy appointed for that person by the court under the Mental Capacity Act 2005 .5Where a contractor accepts an application for inclusion in the contractor's list of patients, the contractor must give notice in writing to NHS England of that acceptance as soon as possible.6NHS England must, on receipt of a notice given under sub-paragraph (5)—ainclude the applicant in the contractor's list of patients from the date on which the notice is received; andbgive notice in writing to the applicant (or, in the case of a child or an adult who lacks capacity, to the person making the application on the applicant's behalf) of that acceptance.7This paragraph is subject to Part 2A.181The contractor may, if the contractor's list of patients is open, include a person to whom sub-paragraph (2) applies in its list of patients for a period of up to two years and paragraph 28(1)(b) does not apply in respect of any person included in the contractor's by virtue of this paragraph.2This sub-paragraph applies to a person who is—aa serving member of the armed forces of the Crown who has received written authorisation from Defence Medical Services to receive primary medical services from the contractor's practice; andbliving or working within the contractor's practice area during the period in respect of which that written authorisation is given.3Where the contractor has accepted a person to whom sub-paragraph (2) applies onto its list of patients, the contractor must—aobtain a copy of the patient's medical record or a summary of that record from Defence Medical Services; andbprovide regular updates to Defence Medical Services at such intervals as are agreed with Defence Medical Services about any care and treatment which the contractor has provided to the patient.4At the end of the period of two years, or on such earlier date as the contractor's responsibility for the patient comes to an end, the contractor must—anotify Defence Medical Services in writing that its responsibility for that person has come to an end; andbupdate the patient's medical record, or summary of that record, and return it to Defence Medical Services.18A1A contractor must, if the contractor’s list of patients is open, include a person to whom sub-paragraph (2) applies (a “detained person”) in that list and paragraph 28(1)(b) does not apply in respect of a detained person who is included in the contractor’s list of patients by virtue of this paragraph.2This sub-paragraph applies to a person who—ais serving a term of imprisonment of more than two years, or more than one term of imprisonment totalling, in the aggregate, more than two years;bis not registered as a patient with a provider of primary medical services; andcmakes an application under this paragraph in accordance with sub-paragraph (3) to be included in the contractor’s list of patients by virtue of sub-paragraph (1) or (6) before the scheduled release date.3An application under sub-paragraph (2)(c) may be made during the period commencing one month prior to the scheduled release date and ending 24 hours prior to that date.4Subject to sub-paragraphs (5) and (6), a contractor may only refuse an application under sub-paragraph (2)(c) if the contractor has reasonable grounds for doing so which do not relate to the applicant’s age, appearance, disability or medical condition, gender or gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sexual orientation or social class.5The reasonable grounds referred to in sub-paragraph (4) may include the ground that the applicant will not, on or after the scheduled release date, live in the contractor’s practice area or does not intend to live in that area.6Where a contractor’s list of patients is closed, the contractor may, by virtue of this sub-paragraph, accept an application under sub-paragraph (2)(c) if the applicant is an immediate family member of a registered patient.7Where a contractor accepts an application from a person under sub-paragraph (2)(c) for inclusion in the contractor’s list of patients, the contractor—amust give notice in writing to the provider of the detained estate healthcare service or to NHS England of that acceptance as soon as possible; andbis not required to provide primary medical services to that person until after the scheduled release date.8NHS England must, on receipt of a notice given under sub-paragraph (7)(a)—ainclude the applicant in the contractor’s list of patients from the date notified to NHS England by the provider of the detained estate healthcare service; andbgive notice in writing to the provider of the detained estate healthcare service of that acceptance.9Where a contractor refuses an application made under sub-paragraph (2)(c), the contractor must give notice in writing of that refusal, and the reasons for it, to the provider of the detained estate healthcare service or to NHS England before the end of the period of 14 days beginning with the date of its decision to refuse.10The contractor must—akeep a written record of—ithe refusal of an application under sub-paragraph (2)(c), andiithe reasons for that refusal; andbmake such records available to NHS England on request.11In this paragraph—a“the detained estate healthcare service” means the healthcare service commissioned by NHS England in respect of persons who are detained in prison or in other secure accommodation by virtue of regulations made under section 3B(1)(c) of the Act (Secretary of State’s power to require NHS England to commission services); andb“the scheduled release date” means the date on which the person making an application under sub-paragraph (2)(c) is due to be released from detention in prison.191The contractor may, if the contractor's list of patients is open, accept a person as a temporary resident provided the contractor is satisfied that the person is—atemporarily resident away from the person's normal place of residence and is not being provided with essential services (or their equivalent) under any other arrangement in the locality where that person is temporarily residing; orbmoving from place to place and not for the time being resident in any place.2For the purposes of sub-paragraph (1), a person is to be regarded as temporarily resident in a place if, when that person arrives in that place, they intend to stay there for more than 24 hours but not for more than three months.3Where a contractor wants to terminate its responsibility for a person accepted by it as a temporary resident before the end of —athe period of three months; orbsuch shorter period for which the contractor agreed to accept that person as a temporary resident,the contractor must give notice of that fact to the person either orally or in writing and the contractor's responsibility for that person is to cease seven days after the date on which such notice is given.4Where the contractor's responsibility for a person as a temporary resident comes to an end, the contractor must give notice in writing to NHS England of its acceptance of that person as a temporary resident—aat the end of the period of three months beginning with the date on which the contractor accepted that person as a temporary resident; orbif the contractor's responsibility for that person as a temporary resident came to an end earlier than the end of the three month period referred to in paragraph (a), at the end of that period.5This paragraph is subject to Part 2A.201The contractor may only refuse an application made under paragraph 17 or 19 if the contractor has reasonable grounds for doing so which do not relate to the applicant's age, appearance, disability or medical condition, gender or gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sexual orientation or social class.2The reasonable grounds referred to in sub-paragraph (1) may, in the case of an application made under paragraph 17, include the ground that the applicant—adoes not live in the contractor's practice area; orblives in the outer boundary area (the area referred to in regulation 13(2)).3Where a contractor refuses an application made under paragraph 17 or 19, the contractor must give notice in writing of that refusal and of the reason for it to the applicant (or, in the case of a child or an adult who lacks capacity, the person making the application on the applicant's behalf) before the end of the period of the period of 14 days beginning with the date of the decision to refuse.4The contractor must—akeep a written record of—ithe refusal of any application made under paragraph 17,iithe reasons for that refusal; andbmake such records available to NHS England on request.211Where the contractor has accepted an application made under paragraph 17, 19, 31D, 31E, 31F or 31G, the contractor must—agive notice in writing to the person (or, in the case of a child or an adult who lacks capacity, to the person who made the application on the applicant's behalf) of that person's right to express a preference to receive services from a particular performer or class of performer either generally or in relation to any particular condition; andbrecord in writing any such preference expressed by or on behalf of that person.2The contractor must endeavour to comply with any reasonable preference expressed under sub-paragraph (1) but need not do so if the preferred performer—ahas reasonable grounds for refusing to provide services to the person who expressed the preference; orbdoes not routinely perform the service in question within the contractor's practice.221The contractor must give notice in writing to NHS England of a request made by any person who is a registered patient to be removed from the contractor's list of patients.2Where NHS England—areceives a notice given by the contractor under sub-paragraph (1); orbreceives directly a request from a person to be removed from the contractor's list of patients,NHS England must remove that person from the contractor's list of patients.3The removal of a person from a contractor's list of patients in accordance with this paragraph takes effect on whichever is the earlier of—athe date on which NHS England is given notice of the registration of that person with another provider of essential services (or their equivalent); orb14 days after the date on which the notice given under sub-paragraph (1) or the request made under sub-paragraph (2) is received by NHS England4NHS England must, as soon as practicable, give notice in writing to—athe person who requested the removal; andbthe contractor,that the person's name is to be or has been removed from the contractor's list of patients on the date referred to in sub-paragraph (3).5In this paragraph, and in paragraphs 23(1)(b) and (9), 24(6) and (7), 25(1), 28(2) and 29(3), a reference to a request received from, or advice, information or notice required to be given to, a person includes a request received from or advice, information or notice required to be given to—ain the case of a child, on behalf of the patient—ieither parent, or in the absence of both parents, the guardian or other adult who has care of the child,iia person duly authorised by a local authority to whose care the child has been committed under the Children Act 1989 , oriiia person duly authorised by a voluntary organisation by whom the child is being accommodated under the Children Act 1989; orbin the case of an adult patient who lacks capacity to make the relevant request or receive the relevant advice, information or notice—ia relative of that person,iithe primary carer of that person,iiia donee of a lasting power of attorney granted by that person, oriva deputy appointed for that person by the court under the provisions of the Mental Capacity Act 2005 .231Subject to paragraph 24, where a contractor has reasonable grounds for wanting a person to be removed from its list of patients which do not relate to the person's age, appearance, disability or medical condition, gender or gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sexual orientation or social class, the contractor must—agive notice in writing to NHS England that it wants to have that person removed; andbsubject to paragraph (2), give notice in writing to that person of its specific reasons for requesting the removal of that person.2Where, in the reasonable opinion of the contractor—athe circumstances of the person's removal are such that it is not appropriate for a more specific reason to be given; andbthere has been an irrevocable breakdown in the relationship between the person and the contractor,the reason given under sub-paragraph (1) may consist of a statement that there has been such a breakdown.3Except in the circumstances specified in sub-paragraph (4), a contractor may only request the removal of a person from its list of patients under sub-paragraph (1) if, before the end of the period of 12 months beginning with the date of the contractor's request to NHS England, the contractor has—awarned the person of the risk of being removed from that list; andbexplained to that person the reasons for this.4The circumstances specified in this sub-paragraph are that—a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .bthe contractor has reasonable grounds for believing that the giving of such a warning would—ibe harmful to the person's physical or mental health, oriiput at risk the safety of any party to the agreement who is an individual, any member of the contractor's staff or any other person; orcthe contractor considers that it is not otherwise reasonable or practical for a warning to be given.5The contractor must keep a written record of—athe date of any warning given in accordance with sub-paragraph (3) and the reasons for giving such a warning as explained to the person concerned; orbthe reason why no such warning was given.6The contractor must keep a written record of the removal of any person from its list of patients under this paragraph which must include—athe reason given for the removal;bthe circumstances of the removal; andcin a case where sub-paragraph (2) applies, grounds for a more specific reason not being appropriate,and the contractor must make this record available to NHS England on request.7The removal of a person from the contractor's list of patients in accordance with this paragraph must, subject to sub-paragraph (8), take effect from whichever is the earlier of—athe date on which NHS England is given notice of the registration of that person with another provider of essential services (or their equivalent); orbthe eighth day after NHS England receives the notice referred to in sub-paragraph (1)(a).8Where, on the date on which the removal of a person would take effect under sub-paragraph (7), the contractor is treating that person at intervals of less than seven days, the contractor must give notice in writing to NHS England of that fact and the removal is to take effect on whichever is the earlier of—athe eighth day after NHS England is given notice by the contractor that the person no longer needs such treatment; orbthe date on which NHS England is given notice of the registration of the person with another provider of essential services (or their equivalent).9NHS England must give notice in writing to—athe person in respect of whom the removal is requested; andbthe contractor,that the person's name has been or is to be removed from the contractor's list of patients on the date referred to in sub-paragraph (7) or (8).241Where a contractor wants a person to be removed from its list of patients with immediate effect on the grounds that—athe person has committed an act of violence against any of the persons specified in sub-paragraph (2) or has behaved in such a way that any of those persons has feared for their safety; andbthe contractor has reported the incident to the police,the contractor must give notice to NHS England in accordance with sub-paragraph (3).1ASubject to sub-paragraph (1B), where a contractor—aaccepts a person onto its list of patients; andbsubsequently becomes aware that the person has previously been removed from the list of patients of another provider of primary medical services in response to a request for removal under paragraph (1), the contractor may give notice to NHS England in accordance with sub-paragraph (3) that it wants to have the person removed from its list of patients with immediate effect.1BA contractor must not give notice to NHS England pursuant to sub-paragraph (1A), where—aa person mentioned in paragraph (1A) was allocated to a Violent Patient Scheme ... to receive primary medical services under that scheme; andbthe provider of the Scheme discharged that person because they were not considered to pose a risk of violence, orcthat person successfully appealed their allocation to a Violent Patient Scheme.2The persons specified in this sub-paragraph are—aany party to the agreement who is an individual;ba member of the contractor's staff;ca person engaged by the contractor to perform or assist in the performance of services under the agreement;dany other person present—ion the contractor's practice premises, oriiin the place where services were provided to the patient under the agreement.2AFor the purposes of sub-paragraph (1A), any reference to “the contractor” in sub-paragraph (2) is to be read as a reference to the other provider of primary medical services referred to in sub-paragraph (1A), and sub-paragraph (2) is to be construed accordingly.2BIn sub-paragraph (1B) “Violent Patient Scheme” means a scheme set up in accordance with the Primary Medical Services (Directed Enhanced Services) Directions to provide primary medical services to those removed from a contractor’s list of patients under paragraph (1).3Notice under sub-paragraph (1) or (1A) may be given by any means but, if not in writing, must subsequently be confirmed in writing before the end of a period of seven days beginning with the date on which the notice was given.4NHS England must acknowledge in writing receipt of a request from the contractor under sub-paragraph (1) or (1A).5A removal requested in accordance with sub-paragraph (1) or (1A) takes effect at the time at which the contractor—amakes a telephone call to NHS England; orbsends or delivers the notice to NHS England.6Where, under this paragraph, the contractor has given notice to NHS England that it wants to have a person removed from its list of patients, the contractor must inform that person of that fact unless—ait is not reasonably practicable for the contractor to do so; orbthe contractor has reasonable grounds for believing that to do so would—ibe harmful to the person's physical or mental health, oriiput the safety of a person specified in sub-paragraph (2) at risk.7Where a person is removed from the contractor's list of patients in accordance with this paragraph, NHS England must give that person notice in writing of that removal.8The contractor must record the removal of any person from its list of patients under this paragraph and the circumstances leading to that removal in the medical records of the person removed.251NHS England must remove a person from the contractor's list of patients if—athe person has subsequently been registered with another provider of essential services (or their equivalent) in England; orbNHS England has been given notice by a Local Health Board, a Health Board or a Health and Social Services Board that the person has subsequently been registered with a provider of essential services (or their equivalent) outside of England.2A removal in accordance with sub-paragraph (1) takes effect—aon the date on which NHS England is given notice of the person's registration with the new provider; orbwith the consent of NHS England, on such other date as has been agreed between the contractor and the new provider.3NHS England must give notice in writing to the contractor of any person removed from its list of patients under sub-paragraph (1).261Subject to sub-paragraph (2), where NHS England is satisfied, or is notified by the contractor that a person on the contractor's list of patients has moved and no longer resides in the contractor's practice area, NHS England must—ainform both the person and the contractor that the contractor is no longer obliged to visit and treat that person;badvise the person in writing to either obtain the contractor's agreement to that person's continued inclusion in the contractor's list of patients or to apply for registration with another provider of essential services (or their equivalent); andcinform the person that if, after the end of the period of 30 days beginning with the date on which the advice mentioned in paragraph (b) was given, that person has not acted in accordance with that advice and informed NHS England accordingly, that person will be removed from the contractor's list of patients.2If, at the end of period of 30 days mentioned in sub-paragraph (1)(c), NHS England has not been informed by the person of the action taken, NHS England must remove that person from the contractor's list of patients and inform that person and the contractor of that removal.27Where the address of a person who is on the contractor's list of patients is no longer known to NHS England, NHS England must—agive notice in writing to the contractor that it intends, at the end of the period of three months beginning with the date on which notice was given, to remove the person from the contractor's list of patients; andbat the end of the period referred to in sub-paragraph (a), remove the person from the contractor's list of patients unless, before the end of that period, the contractor satisfies NHS England that the person is a patient to whom the contractor is still responsible for providing essential services.281NHS England must remove a person from a contractor's list of patients where it is given notice to the effect that the person—aintends to be away from the United Kingdom for a period of at least three months;bis in the armed forces of the Crown (except in the case of a patient to whom paragraph 18 applies);cis serving a term of imprisonment of more than two years or more than one term of imprisonment totalling, in the aggregate, more than two years;dhas been absent from the United Kingdom for a period of more than three months; orehas died.2The removal of a person from a contractor's list of patients under this paragraph takes effect from—awhere sub-paragraph (1)(a) to (c) applies—ithe date of the person's departure, enlistment or imprisonment, oriithe date on which NHS England is given notice of the person's departure, enlistment or imprisonment,whichever is the later; orbwhere sub-paragraph (1)(d) and (e) applies, the date on which NHS England is given notice of the person's absence or death.3NHS England must give notice in writing to the contractor of the removal of a person from the contractor's list of patients under this paragraph.291NHS England must remove a person from a contractor's list of patients where the person has been accepted as a temporary resident by another contractor or other provider of essential services (or their equivalent) in any case where NHS England is satisfied, after due inquiry, that—athe person's stay in the place of temporary residence has exceeded three months; andbthe person has not returned to their normal place of residence or to any other place within the contractor's practice area.2NHS England must give notice in writing of any removal of a person from the contractor's list of patients under this paragraph—ato the contractor; andbwhere practicable, to that person.3A notice given to a person under sub-paragraph (2)(b) must inform the person to whom it is given of—athat person's entitlement to make arrangements for the provision to that person of essential services (or their equivalent), including by the contractor by which that person has been treated as a temporary resident; andbthe name, postal and electronic mail address and telephone number of NHS England.301Where the contractor provides essential services under the agreement to persons on the grounds that they are pupils at, or staff or residents of, a school, NHS England must remove any such person from a contractor's list of patients who does not appear on the particulars provided by that school of persons who are pupils at, or staff or residents of, that school.2Where NHS England has requested a school to provide the particulars referred to in sub-paragraph (1) and has not received those particulars, NHS England must consult the contractor as to whether it should remove from the contractor's list of patients any persons appearing in that list as pupils at, or staff or residents of, that school.3NHS England must give notice in writing to the contractor of the removal of any person from the contractor's list of patients under this paragraph.311Where the contractor has—areceived an application for the provision of medical services, other than essential services—ifrom a person who is not included in the contractor's list of patients,iifrom a person that the contractor has not accepted as a temporary resident, oriiimade on behalf of a person referred to in paragraph (i) or (ii) by a person specified in paragraph 17(4); andbaccepted the person making the application or on whose behalf the application is made as a patient for the provision of the service in question,the contractor's responsibility for that person terminates in the circumstances described in sub-paragraph (2).2The circumstances described in this sub-paragraph are that—athe contractor is informed that the person no longer wishes the contractor to be responsible for the provision of the service in question;bin a case where the contractor has reasonable grounds for terminating its responsibility to provide the service to the person which do not relate to the person's age, appearance, disability or medical condition, gender or gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sexual orientation or social class, the contractor informs the person that it no longer wants to be responsible for providing that person with the service in question; orcit comes to the contractor's attention that the person—ino longer resides in the area for which the contractor has agreed to provide the service in question, oriiis no longer included in the list of patients of another contractor to whose registered patients the contractor has agreed to provide that service.3Where a contractor wants to terminate its responsibility for a person under sub-paragraph (2)(b), the contractor must give notice of the termination to that person and the reason for it.4The contractor must keep a written record of any terminations under this paragraph and of the reasons for those terminations and must make this record available to NHS England on request.5A termination under sub-paragraph (2)(b) takes effect—awhere the grounds for termination are those specified in paragraph 24(1), from the date on which the notice is given; orbin any other case, 14 days after the date on which the notice is given.PART2ACHAPTER131A1A person (“P”) is a qualifying person for the purposes of this Part of this Schedule if—aP is returning, or has returned, to the United Kingdom, andbsub-paragraph (2), (3), (4) or (5) applies to P.2This sub-paragraph applies to P if—aP is a civil servant who is, or, immediately before their return to the United Kingdom, was, posted overseas, orbwhere P is returning, or has returned, to the United Kingdom for a period of more than three months—iP was a civil servant who was posted overseas, andiiis returning, or has returned, to the United Kingdom (other than temporarily) for the first time since ceasing to be a civil servant.3This sub-paragraph applies to P if P—ais a relevant family member of a person to whom sub-paragraph (2) applies (“R”), andbis, or, immediately before their return to the United Kingdom, was, accompanying R on the posting mentioned in sub-paragraph (2).4This sub-paragraph applies to P if P—ais a relevant family member of a civil servant (“C”) who—iis posted overseas, oriiwhere C is deceased, was at the time of their death posted overseas, andbis, or, immediately before their return to the United Kingdom, was, accompanying C on the posting mentioned in paragraph (a).5This sub-paragraph applies to P if—aP is a relevant family member of a person (“M”) who—iis a member of the armed forces of the Crown who is, or, immediately before their return to the United Kingdom, was posted overseas,iiwhere M is returning, or has returned, to the United Kingdom for more than three months—aawas a member of the armed forces of the Crown who was posted overseas, andbbis returning, or has returned, to the United Kingdom (other than temporarily) for the first time since ceasing to a member of those forces, oriiiwhere M is deceased, was at the time of their death a member of the armed forces of the Crown posted overseas, andbP is, or, immediately before their return to the United Kingdom, was, accompanying M on the posting mentioned in paragraph (a).6In this paragraph—“civil servant” means a person employed in the civil service of the State;“Crown servant” means—a civil servant, ora member of the armed forces of the Crown.7For the purposes of this paragraph “relevant family member”, in relation to a Crown servant (including a Crown servant who is deceased) (“C”), means—aC’s spouse or civil partner;ba person whose relationship with C has the characteristics of a relationship between spouses or civil partners;cC’s former spouse or former civil partner;da person whose relationship with C had the characteristics of a relationship between spouses or civil partners but which has ended (for any reason);eC’s widow, widower or surviving civil partner;fa dependent child.8For the purposes of sub-paragraph (7)(f), a person is a “dependent child” of a Crown servant if they are a child of the Crown servant and—athey—ihave not, or, when they departed the United Kingdom, had not, attained the relevant age, andiiare, or, where the Crown servant is deceased, were, wholly or mainly financially dependent on the Crown servant whilst accompanying the Crown servant on their overseas posting, orbthey are, or where the Crown servant is deceased, were, wholly or mainly financially dependent on the Crown servant because of a disability (within the meaning of section 6 of the Equality Act 2010).10For the purposes of sub-paragraph (8)(a)(i) “relevant age”—ain relation to a child of a civil servant, means the age of 21;bin relation to a child of a member of the armed forces of the Crown, means the age of 25.31B1For the purposes of this Part of this Schedule, a qualifying person is required to be treated as a previous patient of a contractor if—awhere sub-paragraph (2) of paragraph 31A applies to P, P was removed from the contractor’s, or a predecessor contractor’s, list of patients under paragraph 28(1)(a) or (d) following the posting mentioned paragraph 31A(2) or a previous overseas posting;bwhere sub-paragraph (3) of paragraph 31A applies to P, R (within the meaning of that sub-paragraph) was removed from the contractor’s, or a predecessor contractor’s, list of patients under paragraph 28(1)(a) or (d) following the posting mentioned paragraph 31A(2)or a previous overseas posting;cwhere sub-paragraph (4) of paragraph 31A applies to P, C (within the meaning of that sub-paragraph) was removed from the contractor’s, or a predecessor contractor’s, list of patients under paragraph 28(1)(a) or (d) following the posting mentioned in paragraph 31A(4) or a previous overseas posting;dwhere sub-paragraph (5) of paragraph 31A applies to P, P was removed from the contractor’s, or a predecessor contractor’s, list of patients under paragraph 28(1)(a) or (d) following P accompanying M (within the meaning of paragraph 31A(5)) on the posting mentioned paragraph 31A(5) or on a previous overseas posting.2For the purposes of this paragraph, a contractor (“A”) is a predecessor contractor in relation to another contractor (“B”) if B assumes any of the obligations of A to provide services which were originally provided by A under A’s contract.31C1In this Part of this Schedule—“child” means—a natural child,an adopted child, ora step-child;“planned return date” means the date on which a person intends to return to the United Kingdom;“qualifying person” has the meaning given in paragraph 31A;“relevant family member” has the meaning given in paragraph 31A.2For the purposes of this Part of this Schedule, a Crown servant is posted overseas if they—aare performing overseas (but not in Northern Ireland) the duties of a civil servant or, as the case may be, a member of those forces overseas, andbwere immediately before their posting, or the first of consecutive postings, ordinarily resident in the United Kingdom.3For the purposes of this Part of this Schedule, a relevant family member of a Crown servant who has not resided in the United Kingdom and is coming, or has come, to the United Kingdom for the first time is to be treated as if—athey were returning, or had returned, to the United Kingdom, andbthey departed the United Kingdom on the day on which they became a relevant family member of the Crown servant.4For the purposes of this Part of this Schedule, a person is to be regarded as temporarily resident in a place if, when that person arrives in that place, they intend to stay for more than 24 hours but not for more than three months.CHAPTER231D1Subject to sub-paragraph (4), a contractor must include a qualifying person in the contractor’s list of patients if the qualifying person (“P”) if—aP is not registered as a patient with a provider of primary medical services,bP is required to be treated as a previous patient of the contractor,cP is returning, or has returned, to the United Kingdom for a period of more than three months, anddeither—iP makes an application for inclusion in the contractor’s list of patients (a “list application”), oriiwhere P is a person to whom sub-paragraph (2) applies, a list application is made on their behalf by an appropriate person.2This sub-paragraph applies to a person if they—ahave not attained the age of 16 years, orblack the capacity to make a list application or authorise a person to make such an application on their behalf.3For the purposes of sub-paragraph (1) it does not matter whether the contractor’s list of patients is open or closed.4A list application—amay be made on or after the date which is one month before the planned return date, butbmust be made before the end of the period of three months beginning with the day on which the person returns to the United Kingdom.5Paragraph 28(1)(a) or (d) does not apply in respect of a qualifying person who is included in the contractor’s list of patients by virtue of sub-paragraph (1) before their return to the United Kingdom.6Where a contractor accepts a list application, the contractor—amust give notice in writing to NHS England of that acceptance (including the planned return date, where the application is made and accepted before that date) as soon as possible, butbis not required to provide primary medical services to the qualifying person before their return to the United Kingdom.7NHS England must, on receipt of a notice given under sub-paragraph (6)(a)—ainclude the qualifying person in the contractor’s list of patients from the relevant date, andbgive notice in writing to the qualifying person or the appropriate person (as the case may be) of the acceptance.8For the purposes of sub-paragraph (7)(a) “the relevant date” is—awhere the relevant list application is made after a person’s return to the United Kingdom, the date on which NHS England receives the notice given under sub-paragraph (7)(a);bwhere the relevant list application is made before a person’s return to the United Kingdom, the later of—ithe planned return date, andiithe date on which NHS England receives the notice given under sub-paragraph (7)(a).10This paragraph is subject to paragraph 31H.31E1Subject to sub-paragraph (5), a contractor must accept a qualifying person to whom sub-paragraph (2) applies (“P”) as a temporary resident provided that the contractor is satisfied that—aif P is in the United Kingdom, P is not being provided with essential services (or their equivalent) under any other arrangement in the locality where P is temporarily residing, orbif P is not yet in the United Kingdom, when P arrives in the United Kingdom, P will not be provided with essential services (or their equivalent) under any other arrangement in the locality where P will be temporarily residing.2This sub-paragraph applies to a qualifying person if—athey are returning, or have returned, to the United Kingdom for a period of more than 24 hours but not more than three months,bthey are required to be treated as a previous patient of the contractor, andceither—ithey make an application to be accepted as a temporary resident by the contractor (a “temporary resident application”), oriiwhere they are a person to whom sub-paragraph (3) applies, a temporary resident application is made on their behalf by an appropriate person.3This sub-paragraph applies to a person if they—ahave not attained the age of 16 years, orblack the capacity to make a temporary resident application or authorise a person to make such an application on their behalf.4For the purposes of sub-paragraph (1), it does not matter whether the contractor’s list of patients is open or closed.5A temporary resident application may be made on or after the date which falls one month before the planned return date.6Where a contractor accepts a temporary resident application, the contractor’s responsibility for the relevant qualifying person does not begin until the relevant date.7Where a contractor wants to terminate its responsibility for a qualifying person accepted by it as a temporary resident under this paragraph before the end of the temporary residence period—athe contractor must give notice, either orally or in writing, of that fact to the qualifying person or an appropriate person (as the case may be), andbthe contractor’s responsibility for the qualifying person is to cease seven days after the date on which the notice mentioned in paragraph (a) is given.8The contractor must give notice in writing to NHS England of its acceptance of the qualifying person as a temporary resident—aat the end of the period of three months beginning with the relevant date, orbif the contractor’s period of responsibility for that person as a temporary resident came to an end earlier than the end of the three month period referred to in paragraph (a), at the end of that period.9In this paragraph—“relevant date” means the later of—the date on which the contractor accepts the qualifying person as a temporary resident, andthe date on which the qualifying person returns to the United Kingdom;“the temporary residence period”, in relation to a qualifying person, means—the period of three months beginning with the relevant date, orsuch shorter period for which the contractor agreed to accept that person as a temporary resident.10This paragraph is subject to paragraph 31H.CHAPTER331F1A contractor must, if the contractor’s list of patient’s is open, include a qualifying person (“P”) in the contractor’s list of patients if—aP is not registered as a patient with a provider of primary medical services,bP is returning, or has returned, to the United Kingdom for a period of more than three months,cP is not required to be treated as a previous patient of the contractor, anddeither—iP makes an application for inclusion in that list (a “list application”), oriiwhere P is a person to whom sub-paragraph (2) applies, a list application is made on their behalf by an appropriate person.2This sub-paragraph applies to a person if they—ahave not attained the age of 16 years, orblack the capacity to make a list application or authorise a person to make such an application on their behalf.3A list application may be made during the period commencing one month prior to the planned return date and ending 24 hours prior to that date.4Where a contractor’s list of patients is closed, the contractor may, by virtue of this sub-paragraph, accept a list application if the applicant is an immediate family member of a registered patient.5Paragraph 28(1)(a) or (d) does not apply in respect of a qualifying person who is included in the contractor’s list of patients by virtue of sub-paragraph (1) before their return to the United Kingdom.6Where a contractor accepts a list application, the contractor—amust give notice in writing to NHS England of that acceptance (including the planned return date) as soon as possible, butbis not required to provide primary medical services to the qualifying person before they return to the United Kingdom.7NHS England must, on receipt of a notice given under sub-paragraph (6)(a)—ainclude the qualifying person in the contractor’s list of patients from the relevant date, andbgive notice in writing to the qualifying person or the appropriate person (as the case may be) of the acceptance.9For the purposes of paragraph (7)(a) “the relevant date” is the later of—athe date on which NHS England receives the notice given under sub-paragraph (6)(a), andbthe planned return date.10This paragraph is subject to paragraph 31H.31G1A contractor must, if the contractor’s list of patients is open, accept a qualifying person to whom sub-paragraph (2) applies (“P”) as a temporary resident provided that the contractor is satisfied that—aif P is in the United Kingdom, P is not being provided with essential services (or their equivalent) under any other arrangement in the locality where P is temporarily residing, orbif P is not yet in the United Kingdom, when P arrives in the United Kingdom, P will not be provided with essential services (or their equivalent) under any other arrangement in the locality where P will be temporarily residing.2This sub-paragraph applies to a qualifying person if—athey are returning, or have returned, to the United Kingdom for a period of at least 24 hours but not more than three months,bthey are not required to be treated as a previous patient of the contractor, andceither—ithey make an application to be accepted as a temporary resident by the contractor (a “temporary resident application”), oriiwhere they are a person to whom sub-paragraph (3) applies, a temporary resident application is made on their behalf by an appropriate person.3This sub-paragraph applies to a person if they—ahave not attained the age of 16 years, orblack the capacity to make a temporary resident application or authorise a person to make such an application on their behalf.4A temporary resident application may be made on or after the date which falls one month before the planned return date.5Where a contractor accepts a temporary resident application, the contractor’s responsibility for the relevant qualifying person does not begin until the relevant date.7Where a contractor wants to terminate its responsibility for a qualifying person accepted by it as a temporary resident under this paragraph before the end of the temporary residence period—athe contractor must give notice, either orally or in writing, of that fact to the qualifying person or an appropriate person (as the case may be), andbthe contractor’s responsibility for the qualifying person is to cease seven days after the date on which the notice mentioned in paragraph (a) is given.8The contractor must give notice in writing to NHS England of its acceptance of the qualifying person as a temporary resident—aat the end of the period of three months beginning with the relevant date, orbif the contractor’s period of responsibility for that person as a temporary resident came to an end earlier than the end of the three month period referred to in paragraph (a), at the end of that period.9In this paragraph—“relevant date” means the later of—the date on which the contractor accepts the qualifying person as a temporary resident, andthe date on which the qualifying person returns to the United Kingdom;“the temporary residence period”, in relation to a qualifying person, means—the period of three months beginning with the relevant date, orsuch shorter period for which the contractor agreed to accept that person as a temporary resident.10This paragraph is subject to paragraph 31H.CHAPTER431H1The contractor may refuse a list application, or a temporary residence application, if (and only if) the contractor has reasonable grounds for doing so which do not relate to the qualifying person’s age, appearance, disability or medical condition, gender or gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sexual orientation or social class.2The reasonable grounds referred to in sub-paragraph (1) may, in the case of a list application, include the ground that the qualifying person will not, on or after the planned return date, live in, or does not intend to live in, either of the following areas—athe contractor’s practice area, orbthe outer boundary area (the area referred to in regulation 13(2)).3Where a contractor refuses a list application, or temporary resident application, the contractor must give a refusal notice to the relevant person before the end of the period of 14 days beginning with the date of the decision to refuse the application.4For the purposes of sub-paragraph (3), the relevant person is—athe applicant, orbwhere the application was made on behalf of a person who has not attained the age of 16 years or a person who lacks capacity, the person who made the application on their behalf.5The contractor must—akeep a written record of—ithe refusal of any list application, andiiits reasons for that refusal, andbmake such records available to NHS England on request.6In this paragraph—“list application” means an application under paragraph 31D or 31F;“refusal notice” means a notice which—is in writing, andincludes the reasons for a decision to refuse the relevant application;“temporary residence application” means an application under paragraph 31E or 31G.PART 3321Where a contractor wants to close its list of patients, the contractor must send a written application to that effect (“the application”) to NHS England.2The application must include the following information—athe options which the contractor has considered, rejected or implemented in an attempt to alleviate the difficulties which the contractor has encountered in respect of its open list and, if any of the options were implemented, the level of success in reducing or extinguishing such difficulties;bdetails of any discussions between the contractor and its patients and a summary of those discussions including whether or not, in the opinion of those patients, the list of patients should be closed;cdetails of any discussions between the contractor and the other contractors in the contractor's practice area and a summary of the opinion of the other contractors as to whether or not the list of patients should be closed;dthe period of time, being a period of not less than three months and not more than 12 months, during which the contractor wants its list of patients to be closed;edetails of any reasonable support from NHS England which the contractor considers would enable its list of patients to remain open or would enable the period of proposed closure to be minimised;fany plans which the contractor may have to alleviate the difficulties mentioned in the application during the period of the proposed closure in order for that list to re-open at the end of that period without the existence of those difficulties; andgany other information which the contractor considers ought to be drawn to the attention of NHS England.3NHS England must acknowledge receipt of the application before the end of the period of seven days beginning with the date on which the application was received by NHS England.4NHS England must consider the application and may request such other information from the contractor as NHS England requires in order to enable it to decide the application.5NHS England must enter into discussions with the contractor concerning—athe support which NHS England may give to the contractor; orbany changes which NHS England or the contractor may make,which would enable the contractor to keep its list of patients open.6NHS England and the contractor must, throughout the period of the discussions referred to in sub-paragraph (5), use reasonable endeavours to achieve the aim of keeping the contractor's list of patients open.7NHS England or the contractor may, at any stage during the discussions, invite the Local Medical Committee (if any) for the area in which the contractor provides services under the agreement to attend any meetings arranged between NHS England and the contractor to discuss the application.8NHS England may consult such persons as it appears to NHS England may be affected by the closure of the contractor's list of patients and, if it does so, NHS England must provide to the contractor a summary of the views expressed by those persons consulted in respect of the application.9NHS England must enable the contractor to consider and comment on all the information before NHS England makes a decision in respect of the application.10A contractor may withdraw the application at any time before NHS England makes a decision in respect of that application.11NHS England must, before the end of the period of 21 days beginning with the date on which the application was received by NHS England (or within such longer period as the parties may agree), make a decision to—aapprove the application and determine the date from which the closure of the contractor's list is to take effect and the date on which the list of patients is to reopen; orbreject the application.12NHS England must give notice in writing to the contractor of its decision to—aapprove the application in accordance with paragraph 33; orbreject the application in accordance with paragraph 34.13A contractor may not submit more than one application to close its list of patients in any period of 12 months beginning with the date on which NHS England makes its decision on the application unless—aparagraph 35 applies; orbthere has been a change in the circumstances of the contractor which affects its ability to deliver services under the agreement.331Where NHS England approves an application to close a contractor's list of patients, NHS England must—agive notice in writing to the contractor of its decision as soon as possible and the notice (“the closure notice”) must include the details specified in sub-paragraph (2); andbat the same time as NHS England gives notice to the contractor, send a copy of the closure notice to—ithe Local Medical Committee (if any) for the area in which the contractor provides services under the agreement, andiiany person who NHS England consulted in accordance with paragraph 32(8).2The closure notice must include—athe period of time for which the contractor's list of patients is to be closed which must be—ithe period specified in the application, oriiwhere NHS England and the contractor have agreed in writing to a different period, that different period,and, in either case, the period must not be less than three months and not more than 12 months;bthe date on which the closure of the contractor's list of patients is to take effect (“the closure date”); andcthe date on which the list of patients is to re-open.3Subject to paragraph 36, a contractor must close its list of patients with effect from the closure date and the list of patients must remain closed for the duration of the closure period as specified in the closure notice.341Where NHS England rejects an application to close a contractor's list of patients, NHS England must—agive notice in writing to the contractor of its decision as soon as possible and the notice must include NHS England’s reasons for rejecting the application; andbat the same time as NHS England gives notice to the contractor, send a copy of the notice to—ithe Local Medical Committee (if any) for the area in which the contractor provides services under the agreement, andiiany person who NHS England consulted in accordance with paragraph 32(8).2Subject to sub-paragraph (3), if NHS England decides to reject an application from a contractor to close its list of patients, the contractor may not make a further application to close its list of patients until whichever is the later of—athe end of the period of three months beginning with the date on which NHS England’s decision to reject the application was made; orbin a case where a dispute arising from NHS England’s decision to reject the application has been referred to the NHS dispute resolution procedure, the end of the period of three months beginning with the date on which a final determination to reject the application was made in accordance with that procedure (or any court proceedings).3A contractor may make a further application to close its list of patients where there has been a change in the circumstances of the contractor which affects the contractor's ability to deliver services under the agreement.351A contractor may apply to extend the closure period by sending a written application (“the application”) to that effect to NHS England no later than eight weeks before the date on which the closure period is due to expire.2The application must include the following information—adetails of the options which the contractor has considered, rejected or implemented in an attempt to alleviate the difficulties which have been encountered during the closure period or which may be encountered when the closure period expires;bthe period of time during which the contractor wants its list of patients to remain closed (which may not be longer than 12 months);cdetails of any reasonable support from NHS England which the contractor considers would enable the contractor's list of patients to re-open or would enable the proposed extension to the closure period to be minimised;ddetails of any plans which the contractor may have to alleviate the difficulties mentioned in the application to extend the closure period in order for the list of patients to re-open at the end of the proposed extension of the closure period without the existence of those difficulties; andeany other information which the contractor considers ought to be drawn to the attention of NHS England.3NHS England must acknowledge receipt of the application before the end of the period of seven days beginning with the date on which the application was received by NHS England.4NHS England must consider the application and may request such other information from the contractor as it requires in order to enable it to decide the application.5NHS England may enter into discussions with the contractor concerning—athe support which NHS England may give to the contractor; orbany changes which NHS England or the contractor may make,which would enable the contractor to re-open its list of patients.6NHS England must determine the application before the end of the period of 14 days beginning with the date on which NHS England received that application (or before the end of such longer period as the parties may agree).7NHS England must give notice in writing to the contractor of its decision to approve or reject the application as soon as possible after making that decision.8Where NHS England approves the application, NHS England must—agive notice in writing to the contractor of its decision (“the extended closure notice”) which must include the details specified in sub-paragraph (9); andbat the same time as it gives notice in writing to the contractor, send a copy of the extended closure notice to—ithe Local Medical Committee (if any) for the area in which the contractor provides services under the agreement, andiiany person who NHS England consulted in accordance with paragraph 32(8).9The extended closure notice must include—athe period of time for which the contractor's list of patients is to remain closed which must be—ithe period specified in the application, oriiwhere NHS England and contractor have agreed in writing a different period to the period specified in that application, that agreed period,and, in either case, the period (“the extended closure period”) must not be less than three months and not more than 12 months beginning with the date on which the extended closure period is to take effect ;bthe date on which the extended closure period is to take effect; andcthe date on which the contractor's list of patients is to re-open.10Where NHS England rejects an application, NHS England must—agive notice in writing to the contractor of its decision which must include its reasons for rejecting the application; andbat the same time as it gives notice to the contractor, send a copy of the notice to the Local Medical Committee (if any) for the area in which the contractor provides services under the agreement.11Where an application is made in accordance with sub-paragraphs (1) and (2), the contractor's list of patients is to remain closed pending whichever is the later of—athe determination by NHS England of that application; orbin a case where a dispute arising from NHS England’s decision to reject the application has been referred to the NHS dispute resolution procedure, the contractor ceasing to pursue that dispute through that procedure (or any court proceedings).36The contractor may re-open its list of patients before the expiry of the closure period if NHS England and the contractor agree that the contractor should do so.PART 4371This Part applies in respect of the assignment by NHS England of—aa person as a new patient to a contractor’s list of patients where that person—ihas been refused inclusion in a contractor’s list of patients or has not been accepted as a temporary resident by a contractor, andiiwould like to be included in the list of a contractor in whose integrated care board area that person resides;bany person who is part of a list dispersal resulting from the closure of a practice where that person—ihas not registered with another contractor, andiiwould like to be included in the list of patients of a contractor in whose integrated care board area that person resides;cany person who is part of a list dispersal resulting from the closure of a practice where that person has not registered with another contractor and NHS England has been unable to contact that person.2In this paragraph, “list dispersal” means the allocation of patients from a contractor’s list of patients by NHS England following termination of the contract or during the period set out in the notice of termination or agreement to terminate.381Subject to paragraph 39, NHS England may—aassign a new patient to a contractor whose list of patients is open; andbonly assign a new patient to a contractor whose list of patients is closed in the circumstances specified in sub-paragraph (2).2The circumstances specified in this sub-paragraph are where—athe assessment panel has determined under paragraph 40(7) that new patients may be assigned to the contractor in question, and that determination has not been overturned either by a determination of the Secretary of State under paragraph 41(13) or (where applicable) by a court; andbNHS England has entered into discussions with the contractor in question regarding the assignment of new patients if such discussions are required under paragraph 42.39When assigning a person as a new patient to a contractor's list of patients under paragraph 38(1)(a) or (b), NHS England must have regard to—athe preferences and circumstances of the person;bthe distance between the person's place of residence and the contractor's practice premises;cany request made by a contractor to remove the person from its list of patients within the preceding period of six months beginning with the date on which the application for assignment is received by NHS England;dwhether, during the preceding period of six months beginning with the date on which the application for assignment is received by NHS England, the person has been removed from a list of patients on the grounds referred to in—iparagraph 23 (relating to circumstances in which a patient may be removed from a contractor's list of patients at the request of the contractor),iiparagraph 24 (relating to circumstances in which a patient who is violent may be removed from a contractor's list of patients), oriiithe equivalent provisions to those paragraphs in relation to arrangements made under section 83(2) of the Act (which relates to the provision of primary medical services) or under a contract made in accordance with the General Medical Services Contracts Regulations;ein a case to which sub-paragraph (d)(ii) applies (or to which the equivalent provisions as mentioned in sub-paragraph (d)(iii) apply), whether the contractor has appropriate facilities to deal with such patients; andfsuch other matters as NHS England considers relevant.39AWhere NHS England has assigned a person to a contractor’s list of patients in accordance with this Part, and that person resides outside a contractor’s practice area, regulation 25(4), (5) and (6) (variation of contracts: registered patients from outside practice area) are to apply as if the contractor had accepted that patient onto its list of patients in accordance with regulation 25(1), unless a contractor chooses to include that person in its list of patients for its practice area on assignment by NHS England.401Where NHS England wants to assign a new patient to a contractor which has closed its lists of patients, NHS England must prepare a proposal to be considered by the assessment panel.2NHS England must give notice in writing to—acontractors, including those contractors who provide primary medical services in accordance with arrangements made under section 83(2) of the Act (primary medical services) or under a contract made in accordance with the General Medical Services Contracts Regulations, which—ihave closed their lists of patients, andiimay, in the opinion of NHS England, be affected by the determination of the assessment panel; andbthe Local Medical Committee (if any) for the area in which the contractors referred to in paragraph (a) provide essential services (or their equivalent),that it has referred the matter to the assessment panel.3NHS England must ensure that the assessment panel is appointed to consider and determine the proposal made under sub-paragraph (1), and the composition of the assessment panel must be as described in sub-paragraph (4).4The members of the assessment panel must be—aa member of NHS England who is a director;ba patient representative who is a member of the Local Health and Wellbeing Board or Local Healthwatch organisation ;ca member of a Local Medical Committee but not a member of the Local Medical Committee (if any) for the area in which the contractors who may be assigned patients as a consequence of the panel's determination provide essential services.5In reaching its determination, the assessment panel must have regard to all relevant factors including—awhether NHS England has attempted to secure the provision of essential services (or their equivalent) for new patients other than by means of assignment to a contractor with a closed list; andbthe workload of those contractors likely to be affected by any decision to assign such patients to their list of patients.6The assessment panel must reach a determination before the end of the period of 28 days beginning with the date on which the panel was appointed.7The assessment panel must—adetermine whether NHS England may assign new patients to a contractor which has a closed list of patients; andbif it determines that NHS England may make such an assignment, determine, where there is more than one contractor, the contractors to which patients may be assigned.8The assessment panel may determine that NHS England may assign new patients to contractors other than any of the contractors specified in its proposals under sub-paragraph (1), as long as the contractors were given notice in writing under sub-paragraph (2)(a).9The assessment panel's determination must include its comments on the matters referred to in sub-paragraph (5), and notice in writing of that determination must be given to those contractor's referred to in sub-paragraph (2)(a).411Where an assessment panel makes a determination under paragraph 40(7)(a) that NHS England may assign new patients to contractors who have closed their lists of patients, any contractor specified in the determination may refer the matter to the Secretary of State to review that determination.2Where a matter is referred to the Secretary of State under sub-paragraph (1), it must be reviewed in accordance with the procedure specified in the following sub-paragraphs.3Where more than one contractor specified in the determination would like to refer the matter for dispute resolution, those contractors may, if they all agree, refer the matter jointly and, in that case, the Secretary of State must review the matter in relation to those contractors together.4The contractor (or contractors) must send to the Secretary of State, before the end of the period of seven days beginning with the date of the determination of the assessment panel in accordance with paragraph 40(7)(a), a written request for dispute resolution which must include or be accompanied by—athe names and addresses of the parties to the dispute;ba copy of the agreement (or agreements); andca brief statement describing the nature of and circumstances giving rise to the dispute.5The Secretary of State must, before the end of the period of seven days beginning with the date on which the matter was referred to the Secretary of State—agive notice in writing to the parties that the Secretary of State is dealing with the matter; andbinclude with the notice a written request to the parties to make, in writing before the end of a specified period, any representations which those parties would like to make about the dispute.6The Secretary of State must give, with the notice under sub-paragraph (5), to the party other than the one which referred the matter to dispute resolution, a copy of any document by which the dispute was referred to dispute resolution.7The Secretary of State must, upon receiving any representations from a party—agive a copy of those representations to each other party; andbrequest, in writing, that each party to which a copy of those representations is given makes, before the end of a specified period, any written observations which they would like to make about those representations.8The Secretary of State may—ainvite representatives of the parties to appear before, and make oral representations to, the Secretary of State either together or, with the agreement of the parties, separately, and may, in advance, provide the parties with a list of matters or questions to which the Secretary of State would like them to give special consideration; orbconsult other persons whose expertise the Secretary of State considers is likely to assist the Secretary of State's consideration of the dispute.9Where the Secretary of State consults another person under sub-paragraph (8)(b), the Secretary of State must—agive notice in writing to that effect to the parties; andbwhere the Secretary of State considers that the interests of any party might be substantially affected by the result of the consultation, give to the parties such opportunity as the Secretary of State considers reasonable in the circumstances to make observations about those results.10In considering the dispute, the Secretary of State must take into account—aany written representations made in response to a request under sub-paragraph (5)(b), but only if they are made before the end of the specified period;bany written observations made in response to a request under sub-paragraph (7), but only if they are made before the end of the specified period;cany oral representations made in response to an invitation under sub-paragraph (8)(a);dthe results of any consultation under sub-paragraph (8)(b); andeany observations made in accordance with an opportunity given under sub-paragraph (9).11Subject to the other provisions of this paragraph and to any agreement between the parties, the Secretary of State may determine the procedure which is to apply to the dispute resolution in such manner as the Secretary of State considers appropriate in order to ensure the just, expeditious, economical and final determination of the dispute.12In this paragraph, “specified period” means—asuch period as the Secretary of State specifies in the request being a period of not less than one week or not more than two weeks beginning with the date on which the notice referred to is given; orbsuch longer period as the Secretary of State may allow for the determination of the dispute where the period for determination of the dispute has been extended in accordance with sub-paragraph (16) and where the Secretary of State does so allow, a reference in this paragraph to the specified period is to the period as so extended.13Subject to sub-paragraph (16), the Secretary of State must—adetermine the dispute before the end of the period of 21 days beginning with the date on which the matter was referred to the Secretary of State;bdetermine whether NHS England may assign new patients to contractors which have closed their lists of patients; andcif the Secretary of State determines that NHS England may assign new patients to such contractors, determine the contractors to which such new patients may be assigned.14The Secretary of State must not determine that patients may be assigned to a contractor which was not specified in the determination of the assessment panel under paragraph 40(7)(b).15In the case of a matter referred jointly by contractors in accordance with sub-paragraph (3), the Secretary of State may determine that patients may be assigned to one, some or all of the contractors which referred the matter.16The period of 21 days referred to in sub-paragraph (13) may be extended (even after it has expired) by a further specified number of days if an agreement to that effect is reached by—athe Secretary of State;bNHS England; andcthe contractor (or contractors) which referred the matter to dispute resolution.17The Secretary of State must—arecord the determination, and the reasons for it, in writing; andbgive notice in writing of the determination (including the record of the reasons) to the parties.421Before NHS England assigns a new patient to a contractor, NHS England must, subject to sub-paragraph (3)—aenter into discussions with the contractor regarding the additional support that NHS England can offer the contractor; andbuse its best endeavours to provide such appropriate support.2In the discussions referred to in sub-paragraph (1)(a), both parties must use reasonable endeavours to reach agreement.3The requirement in sub-paragraph (1)(a) to enter into discussions applies—ato the first assignment of a patient to a particular contractor; andbto any subsequent assignment to that contractor to the extent that it is reasonable and appropriate having regard to—ithe numbers of patients who have or may be assigned to it, andiithe period of time since the last discussions under sub-paragraph (1)(a) took place.PART 5431The contractor must not sub-contract any of its rights or duties under the agreement in relation to clinical matters to any person unless it has taken reasonable steps to satisfy itself that—ait is reasonable in all the circumstances to do so;bthe person to whom any of those rights or duties is sub-contracted is qualified and competent to provide the service; andcthe person holds adequate insurance in accordance with regulation 83.2Where the contractor sub-contracts any of its rights or duties under the agreement in relation to clinical matters, it must—ainform NHS England of the sub-contract as soon as reasonably practicable; andbprovide NHS England with such information in relation to the sub-contract as NHS England may reasonably request.3Where the contractor sub-contracts clinical services under sub-paragraph (1), the parties to the agreement are deemed to have agreed a variation to the agreement which has the effect of adding to the list of the contractor's premises any premises which are to be used by the sub-contractor as practice premises for the purposes of the sub-contract and, in these circumstances, regulation 24(1) does not apply.4Subject to sub-paragraph (4A), a contractor must ensure that any person with whom it sub-contracts is prohibited from sub-contracting the clinical services which that person has agreed with the contractor to provide.4AA sub-contract entered into by a contractor may allow the sub-contractor to sub-contract clinical services the contractor has agreed to provide under the Network Contract Directed Enhanced Service Scheme, pursuant to the Primary Medical Services (Directed Enhanced Services) Directions, provided the contractor has obtained the written approval of NHS England prior to the sub-contractor sub-contracting those services.5The contractor, if it has a list of registered patients or a list of registered patients is held in respect of it, must not sub-contract any of its rights or duties under the agreement in relation to the provision of essential services to a company or firm that is—awholly or partly owned by the contractor, or by any former or current employee of, or partner or shareholder in, the contractor;bformed by or on behalf of the contractor, or from which the contractor derives a pecuniary benefit; orcformed by or on behalf of a former or current employee of, or partner or shareholder in, the contractor, or from which such a person derives or may derive a pecuniary benefit,where sub-paragraph (6) applies to that company or firm.6This sub-paragraph applies to a company or firm which is or was formed wholly or partly for the purpose of avoiding the restrictions on the sale of goodwill of a medical practice in section 259 of the Act (sale of medical practices) and Schedule 21 to the Act (prohibition of sale of medical practices) or in any regulations made wholly or partly under those provisions.PART 644A practice leaflet must include—athe name of the contractor;bin the case of an agreement with a qualifying body—ithe names of the directors, the company secretary and the shareholders of that qualifying body, andiithe address of that qualifying body's registered office;cthe contractor's telephone, fax number and website address or the address at which its online practice profile is available;dthe full name of each person performing services under the agreement;ethe professional qualifications of each health care professional providing services under the agreement;fwhether the contractor undertakes the teaching or training of health care professionals or persons intending to become health care professionals;gwhether the contractor provides essential services in its practice area, including the area known as the outer boundary area (within the meaning given in regulation 13(2)) by reference to an image of the practice area, a written description of the practice area or a digital practice area map;hthe address of each of the contractor's practice premises;ithe access arrangements which the contractor's practice premises have for providing services to disabled patients and, if none, the alternative arrangements for providing services to such patients;jhow to register as a patient;kthe right of patients to express a preference of practitioner in accordance with paragraph 21 and the means of expressing such a preference;lthe services available under the agreement;mthe opening hours of the contractor's practice premises and the method of obtaining access to services throughout the core hours;nthe criteria for home visits and the method of obtaining such a visit;othe arrangements for services in the out of hours period (whether or not provided by the contractor) and how the patient may access such services;pwhere the services referred to in sub-paragraph (o) are not provided by the contractor, the fact that NHS England is responsible for commissioning the services;qinformation about the assignment by the contractor to its new and existing patients of an accountable GP in accordance with paragraph 15;rinformation about the assignment by the contractor to its patients aged 75 and over of an accountable GP under paragraph 16;sthe telephone number of the 111 service;tthe method by which patients are to obtain repeat prescriptions;uif the contractor offers repeatable prescribing services, the arrangements for providing such services;vif the contractor is a dispensing contractor, the arrangements for dispensing prescriptions;whow patients may make a complaint or comment on the provision of services;xthe rights and responsibilities of the patient, including keeping appointments;ythe action that may be taken where a patient is violent or abusive to a party to the agreement who is an individual, any member of the contractor's staff or other persons present on the contractor's practice premises or in the place where treatment is provided under the agreement;zdetails of who has access to patient information (including information from which the identity of the individual can be ascertained) and the rights of patients in relation to the disclosure of such information; andaathe full name, postal and e mail address and telephone number of NHS England from whom details of primary medical services in the area may be obtained.44AWhere a contractor chooses to apply the NHS primary care logo to signage, stationery, leaflets, posters, its practice website or to any other form of written representation relating to the primary care services it provides, it must have regard to guidance concerning use of the NHS primary care logo produced by NHS England.44BThe contractor must participate in a manner reasonably requested by NHS England in up to 6 marketing campaigns in each financial year.44CThe contractor must not advertise the provision of private services, either itself or through any other person, whether the contractor provides the services itself or they are provided by another person, by any written or electronic means where the same are used to advertise the primary medical services it provides.PART 745In addition to any requirements to give notice elsewhere in these Regulations, the contractor must give notice in writing to NHS England as soon as reasonably practicable of—aany serious incident that, in the reasonable opinion of the contractor, affects or is likely to affect the contractor's performance of its obligations under the agreement;bany circumstances which give rise to NHS England’s right to terminate the agreement under paragraph 57 or 58;cany appointments system which the contractor proposes to operate and the proposed discontinuance of any such system;dany change in the address of a registered patient of which the contractor is aware; andethe death of any patient of which the contractor is aware.461Where a qualifying body is a party to the agreement, the contractor must give notice in writing to NHS England as soon as—aany share in the qualifying body is transmitted or transferred (whether legally or beneficially) to another person on a date after the date on which the agreement was entered into;ba new director or secretary of the qualifying body is appointed;cthe qualifying body passes a resolution, or a court of competent jurisdiction makes an order, that the qualifying body be wound up;dcircumstances arise which might entitle a creditor or a court to appoint a receiver, administrator or administrative receiver for the qualifying body;ecircumstances arise which would enable the court to make a winding up order in respect of the qualifying body; orfthe qualifying body is unable to pay its debts within the meaning of section 123 of the Insolvency Act 1986 (definition of inability to pay debts).2A notice under paragraph (1)(a) must confirm that the new shareholder, or, as the case may be, the personal representative of a deceased shareholder—afalls within section 93(1) of the Act (persons with whom agreements may be made); andbmeets the further conditions imposed on shareholders by virtue of regulation 5.3A notice under paragraph (1)(b) must confirm that the new director, or, as the case may be, secretary meets the conditions imposed on directors and secretaries by virtue of regulation 5.471The contractor must give notice in writing to NHS England of the death on its practice premises of a patient no later than the end of the first working day after the date on which that death occurred.2The notice given under sub-paragraph (1) must include—athe patient's full name;bthe patient's National Health Service number (where known);cthe date and place of the patient's death;da brief description of the circumstances (as known) surrounding the patient's death;ethe name of any medical practitioner or other person treating the patient while the patient was on the contractor's practice premises; andfthe name (where known) of any other person who was present at the time of the patient's death.481This paragraph applies where an agreement is varied in accordance with regulation 24 and Part 8 of this Schedule and, as a result of that variation—athere is to be a change in the range of services provided to the contractor's registered patients; orbpatients who are on the contractor's list of patients are to be removed from that list.2Where this paragraph applies, NHS England must—agive notice in writing to those patients of that variation and of its effect; andbinform those patients of the steps that they may take to—iobtain the services in question elsewhere, oriiregister elsewhere for the provision to them of essential services (or their equivalent).491Subject to the conditions specified in sub-paragraph (2), the contractor must allow any person authorised in writing by NHS England to enter and inspect the contractor's practice premises at any reasonable time.2The conditions specified in this sub-paragraph are that—areasonable notice of the intended entry has been given;bwritten evidence of the authority of the person seeking entry is produced to the contractor on request; andcentry is not made to any premises or part of the premises used as residential accommodation without the consent of the resident.50The contractor must allow persons authorised by the Care Quality Commission to enter and inspect the contractor's practice premises in accordance with section 62 of the Health and Social Care Act 2008 (entry and inspection).51The contractor must comply with the requirement to allow an authorised representative to enter and view premises and observe the carrying on of activities on those premises in accordance with regulations made under section 225 of the Local Government and Public Involvement in Health Act 2007 (duties of service-providers to allow entry by Local Healthwatch organisations or contractors).PART 8521Subject to Part 6 and to paragraphs 43(3) and 64 of Schedule 2, a variation of, or amendment to, an agreement is not effective unless it is in writing and signed by or on behalf of NHS England and the contractor.2NHS England may vary the agreement without the contractor's consent where—ait is reasonably satisfied that the variation is necessary in order to comply with the Act, any regulations made under or by virtue of the Act, or any direction given by the Secretary of State under or by virtue of the Act; andbit gives notice in writing to the contractor of the wording of the proposed variation and the date on which that variation is to take effect.3The date on which the proposed variation referred to in sub-paragraph (2)(b) is to take effect must, unless it is not reasonably practicable, be a date which falls at least 14 days after the date on which the notice under that sub-paragraph is given to the contractor.53NHS England and the contractor may agree in writing to terminate the agreement, and if the parties so agree, they must agree the date upon which that termination is to take effect and any further terms upon which the agreement is to be terminated.541Where the agreement is with an individual medical practitioner and that medical practitioner dies, the agreement terminates at the end of the period of seven days beginning with the date of the contractor's death unless sub-paragraph (2) applies.2This sub-paragraph applies where, before the end of the period of seven days referred to in sub-paragraph (1), NHS England agrees in writing with the contractor's personal representatives that the agreement should continue for a further period, not exceeding 28 days, from the end of the period of seven days.3This paragraph does not affect any other rights to terminate the agreement which NHS England may have under paragraphs 57 to 60.551The contractor or NHS England may at any time terminate the agreement by giving notice in writing to the other party or parties to the agreement.2Subject to sub-paragraphs (3) and (4), notice given under sub-paragraph (1) must specify the date on which the termination is to take effect and the agreement terminates on the date so specified.3Where the period of notice in relation to the termination (which must be a period of at least six months) has previously been agreed between the parties and provided for in the agreement, the date of termination specified in the notice must be calculated in accordance with the agreed period of notice.4Where a period of notice in relation to the termination has not previously been agreed between the parties and provided for in the agreement, the period of notice required must be six months and the date of termination specified in the notice must be calculated accordingly and the agreement terminates on the date so calculated.5This paragraph does not affect any other rights to terminate the agreement which the contractor and NHS England may have.561The contractor may give notice in writing (a “late payment notice”) to NHS England if NHS England has failed to make any payments due to the contractor in accordance with a term of the agreement regarding prompt payments which has the effect specified in regulation 16(1), and the contractor must specify in the late payment notice the payments that NHS England has failed to make in accordance with that term.2Subject to sub-paragraph (4), the contractor may, at least 28 days after the date on which a late payment notice under sub-paragraph (1) was given, terminate the agreement by giving a further written notice to NHS England in the event of NHS England’s continuing failure to make the payments that are due to the contractor as specified in the late payment notice.3Sub-paragraph (4) applies if, following receipt of a late payment notice, NHS England—arefers the matter to the NHS dispute resolution procedure before the end of a period of 28 days beginning with the date on which NHS England received the late payment notice; andbgives notice in writing to the contractor that it has done so before the end of that period.4Where this sub-paragraph applies, the contractor may not terminate the agreement in accordance with sub-paragraph (2) until—athere has been a final determination of the dispute under the NHS dispute resolution procedure and that determination permits the contractor to terminate the agreement; orbNHS England ceases to pursue the NHS dispute resolution procedure,whichever is the earlier.5This paragraph does not affect any other rights to terminate the agreement that the contractor may have.571Where sub-paragraph (2) applies, NHS England may give notice in writing to the contractor terminating the agreement with immediate effect, or from such date as may be specified in the notice.2This sub-paragraph applies if, after the agreement was entered into, it comes to NHS England’s attention that written information—aprovided to NHS England by the contractor before the agreement was entered into; orbincluded in a notice given to NHS England under paragraph 46(1)(a) or (b),relating to the conditions set out in regulation 5 (and compliance with those conditions) was, when given, untrue or inaccurate in a material respect.581NHS England may give notice in writing to a contractor terminating the agreement with immediate effect, or from such date as may be specified in the notice, if sub-paragraph (4) applies to the contractor—aduring the existence of the agreement; orbif later, on or after the date on which a notice in respect of the contractor's compliance with the conditions in regulation 5 was given under paragraph 46(1)(a) or (b).2Sub-paragraph (4) applies—awhere a contractor who is an individual medical practitioner is a party to the agreement, to that medical practitioner; orbwhere the agreement is with a contractor which is a qualifying body, to—ithe qualifying body,iiany person both legally and beneficially owning a share in the qualifying body, oriiiany director or secretary of the qualifying body.3In the case of a person who is a party to an agreement made before 1st April 2004 which is deemed to be an agreement made under section 92 of the Act, the reference to “during the existence of the agreement” in sub-paragraph (1) is to be construed as excluding any period before 1st April 2004.4This sub-paragraph applies if—athe contractor is the subject of a national disqualification;bsubject to sub-paragraph (5), the contractor has been disqualified or suspended (other than by an interim suspension order or direction pending an investigation or a suspension on the grounds of ill-health) from practising by a licensing body anywhere in the world;csubject to sub-paragraph (6), the contractor has been dismissed (otherwise than by reason of redundancy) from any employment by a health service body unless, before NHS England has given notice to the contractor terminating the agreement under this paragraph, the contractor is employed by the health service body from which the contractor was dismissed or by another health service body;dthe contractor has been removed from, or refused admission to, a primary care list by reason of inefficiency, fraud or unsuitability (within the meaning of section 151(2), (3) and (4) of the Act respectively) unless the contractor's name has subsequently been included in such a list;ethe contractor has been convicted in the United Kingdom of murder;fthe contractor has been convicted in the United Kingdom of a criminal offence other than murder and has been sentenced to a term of imprisonment of longer than six months;gsubject to sub-paragraph (7), the contractor has been convicted elsewhere of an offence which would, if committed in England and Wales constitute murder, and—ithe offence was committed on or after 14th December 2001, andiithe contractor was sentenced to a term of imprisonment of longer than six months;hthe contractor has been convicted of an offence referred to in Schedule 1 to the Children and Young Persons Act 1933 (offences against children and young persons, with respect to which special provisions of this Act apply) or Schedule 1 to the Criminal Procedure (Scotland) Act 1955 (offences against children under the age of 17 years to which special provisions apply);ithe contractor has at any time been included in—iany barred list within the meaning of section 2 of the Safeguarding Vulnerable Groups Act 2006 (barred lists), oriiany barred list within the meaning of the Safeguarding Vulnerable Groups (Northern Ireland) Order 2007 (barred lists),unless the contractor was removed from the list either on the grounds that it was not appropriate for the contractor to have been included in it or as the result of a successful appeal;jthe contractor has within the period of 5 years before the signing of the agreement, been removed from the office of charity trustee or trustee for a charity by an order made by the Charity Commission, the Charity Commission for Northern Ireland or the High Court, and that order was made on the grounds of misconduct or mismanagement in the administration of a charity for which the contractor was responsible or to which the contractor was privy, or which was contributed to, or facilitated by, the contractor's conduct;kthe contractor has, within the period of five years before the signing of the agreement or the commencement of the agreement, whichever is the earlier, been removed from being concerned with the management or control of any body in any case where removal was by virtue of section 34(5)(e) of the Charities and Trustees Investment (Scotland) Act 2005 (powers of Court of Session);lthe contractor—ihas been made bankrupt and has not been discharged from the bankruptcy or the bankruptcy order has not been annulled, oriihas had sequestration of the contractor's estate awarded and has not been discharged from the sequestration;mthe contractor is the subject of a bankruptcy restrictions order or an interim bankruptcy restrictions order under Schedule 4A to the Insolvency Act 1986 (bankruptcy restrictions order and undertaking) or in Schedule 2A to the Insolvency (Northern Ireland) Order 1989 (bankruptcy restrictions order and undertaking), or sections 56A to 56K of the Bankruptcy (Scotland) Act 1985 (bankruptcy restrictions order, interim bankruptcy restrictions order and bankruptcy restrictions undertaking) unless the contractor has been discharged from that order or that order has been annulled;nthe contractor—iis subject to a moratorium period under a debt relief order under Part VIIA of the Insolvency Act 1986 (debt relief orders) applies, oriiis the subject of a debt relief restrictions order or an interim debt relief restrictions order under Schedule 4ZB to that Act (debt relief restrictions order and undertaking);othe contractor has made a composition agreement or arrangement with, or a trust deed has been granted for, the contractor's creditors and the contractor has not been discharged in respect of it;pthe contractor is a company which has been wound up under Part IV of the Insolvency Act 1986 (winding up of companies registered under the Companies Acts);qan administrator, administrative receiver or receiver has been appointed in respect of the contractor;rthe contractor has had an administration order made in respect of the contractor under Schedule B1 to the Insolvency Act 1986 (administration);sthe contractor is subject to—ia disqualification order under section 1 of the Company Directors Disqualification Act 1986 (disqualification orders: general) or a disqualification undertaking under Section 1A of that Act (disqualification undertakings: general), oriia disqualification order or disqualification undertaking under article 3 (disqualification orders: general) or article 4 (disqualification undertakings: general) of the Company Directors Disqualification (Northern Ireland) Order 2002 unless that order has ceased to have effect or has been annulled, oriiia disqualification order under section 429(2) of the Insolvency Act 1986 (disabilities on revocation of an administration order against an individual); ...tthe contractor has refused to comply with a request made by NHS England for the contractor to be medically examined because NHS England is concerned that the contractor is incapable of adequately providing services under the agreement; oruthe contractor’s registration with the Care Quality Commission has been cancelled in accordance with section 17(1) of the Health and Social Care Act 2008, and that cancellation is the final decision of the Commission, or, where an appeal has been launched, is the outcome of that appeal.5NHS England may not terminate the agreement in accordance with sub-paragraph (4)(b) where NHS England is satisfied that the disqualification or suspension imposed by a licensing body outside the United Kingdom does not make the contractor unsuitable to be—aa party to the agreement; orbin the case of an agreement with a qualifying body—ia person both legally and beneficially owning a share in the qualifying body, oriia director or secretary of the qualifying body,as the case may be.6NHS England may not terminate the agreement in accordance with sub-paragraph (4)(c)—auntil a period of at least three months has elapsed since the date of the dismissal of the person concerned; orbif, during the period specified in paragraph (a), the person concerned brings proceedings in any competent tribunal or court in respect of the dismissal, until proceedings before that tribunal or court are concluded,and NHS England may only terminate the agreement at the end of the period specified in paragraph (b) if there is no finding of unfair dismissal at the end of those proceedings.7NHS England must not terminate the agreement in accordance with sub-paragraph (4)(g) or, as the case may be (4)(h), where NHS England is satisfied that the conviction does not make the person unsuitable to be—aa party to the agreement; orbin the case of a qualifying body—ia person both legally and beneficially owning a share in the qualifying body, oriia director or secretary of the qualifying body,as the case may be.59NHS England may give notice in writing to the contractor terminating the agreement with immediate effect from such date as may be specified in the notice if—athe contractor has breached a term of the agreement and, as a result of that breach, the safety of the contractor's patients is at serious risk if the agreement is not terminated; orbNHS England considers that contractor's financial situation is such that NHS England would be at risk of material financial loss.601This paragraph applies if the contractor breaches the condition specified in paragraph 43(5) relating to the sub-contracting of clinical services under the agreement and it comes to the attention of NHS England that the contractor has done so.2Where this paragraph applies, NHS England must give notice in writing to the contractor—aterminating the agreement with immediate effect; orbinstructing the contractor to terminate with immediate effect the sub-contracting arrangements that give rise to the breach, and, if the contractor fails to comply with the instruction, NHS England must give notice in writing to the contractor terminating the agreement with immediate effect.611Where the contractor's breach of the agreement is not one to which paragraphs 57 to 60 apply and that breach is capable of remedy, NHS England must, before taking any action it is otherwise entitled to take by virtue of the agreement, give notice in writing to the contractor requiring it to remedy the breach (a “remedial notice”).2A remedial notice must specify—adetails of the breach;bthe steps that the contractor must take to the satisfaction of NHS England in order to remedy the breach; andcthe period during which those steps must be taken (“the notice period”).3The notice period must not be less than a period of 28 days beginning with the date on which the notice is given unless NHS England is satisfied that a shorter period is necessary to protect—athe safety of the contractor's patients; orbitself from material financial loss.4Where NHS England is satisfied that the contractor has not taken the required steps to remedy the breach by the end of the notice period, NHS England may give a further notice in writing to the contractor terminating the agreement with effect from such date as NHS England specifies in the notice.5Where the contractor's breach of the agreement is not one to which any of paragraphs 57 to 60 apply, and the breach is not capable of remedy, NHS England may give notice in writing to the contractor requiring the contractor not to repeat the breach (a “breach notice”).6If, following a breach notice or a remedial notice, the contractor—arepeats the breach that was the subject of the breach notice or the remedial notice; orbotherwise breaches the agreement resulting in either a remedial notice or a further breach notice,NHS England may give notice in writing to the contractor terminating the agreement with effect from such date as NHS England specifies in the notice.7NHS England may not exercise its right to terminate the agreement under sub-paragraph (6) unless NHS England is satisfied that the cumulative effect of the breaches is such to allow the agreement to continue would prejudice the efficiency of the services to be provided under the agreement.8If the contractor is in breach of any obligation under the agreement and a breach notice and a remedial notice in respect of that default giving rise to the breach has been given to the contractor, NHS England may withhold or deduct monies which would otherwise be payable under the agreement in respect of the obligation which is the subject matter of the default.62If NHS England becomes aware that a contractor which is a qualifying body is carrying on any business which NHS England considers to be detrimental to the contractor's performance of its obligations under the agreement—aNHS England may give notice in writing to the contractor requiring it to cease carrying on that business before the end of a period of not less than 28 days beginning with the date on which the notice is given (“the notice period”); andbif the contractor has not satisfied NHS England that it has ceased carrying on that business by the end of the notice period, NHS England may give a further notice in writing to the contractor terminating the agreement with immediate effect or from such date as is specified in the notice.631In this paragraph and in paragraph 64, “agreement sanction” means—atermination of specified reciprocal obligations under the agreement;bsuspension of specified reciprocal obligations under the agreement for a period of up to six months; orcwithholding or deducting monies otherwise payable under the agreement.2Where NHS England is entitled to terminate the agreement in accordance with paragraph 57, 58, 59, 61(4) or (6) or 62, it may instead impose any of the agreement sanctions if NHS England is reasonably satisfied that the agreement sanction to be imposed is appropriate and proportionate to the circumstances giving rise to NHS England’s entitlement to terminate the agreement.3If NHS England decides to impose an agreement sanction, NHS England must—agive notice in writing to the contractor of the agreement sanction that it proposes to impose and the date upon which that sanction is to be imposed; andbinclude in the notice an explanation of the effect of the imposition of the sanction.4Subject to paragraph 64, NHS England may not impose the agreement sanction until the end of a period of at least 28 days beginning with the date on which NHS England gives notice to the contractor under to sub-paragraph (3) unless NHS England is satisfied that it is necessary to do so in order to protect—athe safety of the contractor's patients; orbitself from material financial loss.5Where NHS England imposes an agreement sanction, NHS England may charge the contractor the reasonable costs of any additional administration that NHS England has incurred in order to impose, or as a result of imposing, the agreement sanction.641If there is a dispute between NHS England and the contractor in relation to an agreement sanction that NHS England is proposing to impose, NHS England may not, subject to sub-paragraph (4), impose the agreement sanction except in the circumstances specified in sub-paragraphs (2) and (3).2The circumstances specified in this sub-paragraph are if the contractor—arefers the dispute relating to the agreement sanction to the NHS dispute resolution procedure before the end of the period of 28 days beginning with the date on which the contractor was given notice by NHS England in accordance with paragraph 60(4) (or such longer period as may be agreed in writing with NHS England); andbgives notice in writing to NHS England that it has done so.3Where the circumstances specified in sub-paragraph (2) apply, NHS England may not impose the agreement sanction unless—athere has been a final determination of the dispute in accordance with regulation 77 (or by a court) and that determination permits NHS England to impose the agreement sanction; orbthe contractor ceases to pursue the NHS dispute resolution procedure,whichever is the sooner.4If the contractor does not invoke the NHS dispute resolution procedure before the end of the period specified in sub-paragraph (2)(a), NHS England may impose the agreement sanction with immediate effect.5If NHS England is satisfied that it is necessary to impose the agreement sanction before the NHS dispute resolution procedure is concluded in order to protect—athe safety of the contractor's patients; orbitself from material financial loss,NHS England may impose the agreement sanction with immediate effect, pending the outcome of that procedure (or any court proceedings).651Where NHS England is entitled to give notice in writing to the contractor terminating the agreement in accordance with paragraph 57, 58, 59, 61(4) or (6) or 62, NHS England must, in the notice given to the contractor under those provisions, specify a date on which the agreement is to terminate that is at least 28 days after the date on which NHS England gives notice to the contractor unless sub-paragraph (2) applies.2This sub-paragraph applies if NHS England is satisfied that a period of less than 28 days is necessary in order to protect—athe safety of the contractor's patients; orbitself from material financial loss.3Where—asub-paragraph (1) applies but the exceptions in sub-paragraph (2) do not apply; andbthe contractor invokes the NHS dispute resolution procedure before the end of the notice period referred to in sub-paragraph (1) and gives notice in writing to NHS England that it has done so,the agreement does not terminate at the end of the notice period but instead only terminates in the circumstances described in sub-paragraph (4).4The circumstances described in this sub-paragraph for the termination of the agreement are if and when—athere has been a final determination of the dispute under the NHS dispute resolution procedure (or by a court) and that determination permits NHS England to terminate the agreement; orbthe contractor ceases to pursue the NHS dispute resolution procedure,whichever is the sooner.5If NHS England is satisfied that it is necessary to terminate the agreement before the NHS dispute resolution procedure (or any court proceedings) is concluded in order to protect—athe safety of the contractor's patients; orbitself from material financial loss,sub-paragraphs (3) and (4) do not apply and NHS England may confirm, by giving notice in writing to the contractor, that the agreement will nevertheless terminate at the end of the period of the notice given under paragraph 57, 58, 59, 61(4) or (6) or 62.SCHEDULE 2ARegulation 24A1In this Schedule—“integrated care provider” means a person, other than a person specified in paragraph 3(3), who is party to an integrated care provider contract;“integrated care provider contract” has the meaning given in paragraph 3.21Where a contractor wishes to perform or provide primary medical services under an integrated care provider contract, the contractor must give notice in writing to NHS England of that intention in accordance with paragraph 4 and NHS England must agree to suspend the operation of the contractor’s agreement in accordance with the requirements of, and subject to the conditions set out in, this Schedule.2NHS England must not suspend the contractor’s agreement until—athe contractor has informed NHS England of the date on which the contractor intends to begin performing or, as the case may be, providing primary medical services under an integrated care provider contract; andbNHS England has given notice in writing to each person on the contractor’s list of registered patients that—ithe contractor intends to perform or, as the case may be, provide primary medical services under an integrated care provider contract with effect from that date, andiithe person will be transferred on to the list of registered service users of the integrated care provider on that date unless the person decides to register with another provider of primary medical services before that date.3Where NHS England suspends the operation of a contractor’s agreement under sub-paragraph (1), the contractor is released from any obligation to provide primary medical services under that agreement to the contractor’s list of registered patients from the date on which that suspension takes effect.31For the purposes of this Schedule, an “integrated care provider contract” is a contract entered into on or after 1st April 2019 which satisfies the following sub-paragraphs.2An integrated care provider contract must be between—aone or more of the persons specified in sub-paragraph (3); andba person who is a provider of services specified in sub-paragraph (5).3The persons specified in this sub-paragraph are—aNHS England;bone or more integrated care boards; orcone or more local authorities in England.4An integrated care provider contract must—arelate to the provision of two or more of the services specified in sub-paragraph (5); andbnot be a contract to which sub-paragraph (6) applies.5The services specified in this sub-paragraph are—aprimary medical services;bsecondary care services;cpublic health services; anddadult social care services,and include such services where they are provided under arrangements entered into by an NHS body or a local authority in England by virtue of section 75 of the Act.6This sub-paragraph applies to a contract for the provision of primary medical services to which directions given by the Secretary of State under section 98A of the Act (exercise of functions) relating to the provision of alternative provider medical services under section 83(2) of the Act apply.7In this paragraph—“adult social care services” means services provided pursuant to the exercise of the adult social services functions of a local authority in England;“adult social services functions” means social services functions within the meaning of section 1A of the Local Authority and Social Services Act 1970 so far as relating to persons aged 18 or over, excluding any function to which Chapter 4 of Part 8 of the Education and Inspections Act 2006 applies;“primary medical services” means services which NHS England considers it appropriate to secure the provision of under section 83(2) of the 2006 Act (primary medical services);“public health functions” means—the public health functions of the Secretary of State under the following provisions of the Act—section 2A (Secretary of State’s duty as to protection of public health);section 2B (functions of local authorities and Secretary of State as to improvement of public health); orparagraphs 8 and 12 of Schedule 1 (further provision about the Secretary of State and services under the Act);the public health functions of a local authority in England under the following provisions of the Act, and any regulations made under these provisions—section 2B (functions of local authorities and Secretary of State as to improvement of public health);section 111 (dental public health); orparagraphs 1 to 7B or 13 of Schedule 1 (further provision about the Secretary of State and services under this Act);the public health functions of the Secretary of State that a local authority in England is required to exercise by virtue of regulations made under section 6C(1) (regulations as to the exercise by local authorities of certain public health functions) of the Act; orthe public health functions of the Secretary of State where they are exercised by NHS England, an integrated care board or a local authority in England where those bodies are acting pursuant to arrangements made under section 7A (exercise of the Secretary of State’s public health functions) or 7B (directions requiring NHS bodies to exercise public health functions) of the Act;“public health services” are services which are provided pursuant to the exercise of public health functions;“secondary care services” means—such services, accommodation or facilities as an integrated care board considers it appropriate to make arrangements for the provision of under or by virtue of section 3 (duties of integrated care boards as to commissioning of health services) or 3A (power of integrated care boards to commission certain health services) of the Act; orsuch services or facilities as NHS England is required by the Secretary of State to arrange by virtue of regulations made under section 3B (power to require NHS England to commission certain health services) of the Act.8For the purposes of this paragraph, any of the following is a local authority in England—aa county council;ba county borough council;ca district council;da London borough council;ethe Common Council of the City of London;fthe Council of the Isles of Scilly.4A notice under paragraph 2(1) must—astate that the contractor wishes to suspend the agreement and specify the date on which the contractor would like the proposed suspension to take effect which must be a date which—ifalls at least one month after the date on which the notice was given, andiiimmediately precedes the date on which the contractor intends to begin performing or, as the case may be, providing primary medical services under the relevant integrated care provider contract;bgive the name of each person who is a party to the agreement who intends to perform or, as the case may be, provide primary medical services under an integrated care provider contract; andcconfirm that the contractor has agreed, as appropriate, to the suspension of the agreement.51Subject to sub-paragraph (2), the suspension of an agreement is effective for a minimum period of two years beginning with the date on which that suspension takes effect which must be—athe date specified in the notice given under paragraph 2(1); orbsuch later date as NHS England may approve in the circumstances of a particular case.2The suspension of an agreement is effective for a period of less than two years beginning with the date on which that suspension takes effect under sub-paragraph (1) only in a case where the relevant integrated care provider contract terminates or expires or is varied as described in paragraph 9(1) before the end of that period.3Where NHS England suspends an agreement, the contractor may not receive payments from NHS England in respect of any period during which that agreement is suspended.4NHS England must, before the end of the period of—athree months beginning with the date on which the suspension of the agreement takes effect; orbsuch longer period as may be agreed between NHS England and the contractor in the circumstances of a particular case,pay the contractor any outstanding payments owed to the contractor in respect of the provision of primary medical services by the contractor under the agreement in accordance with the payment terms of that agreement.5A contractor may not exercise the right to a general medical services contract which exists under regulation 32 in relation to a suspended agreement during any period in respect of which that agreement is suspended.61A notice under paragraph 7(1) must be given to NHS England by the contractor at least six months before the date on which the proposed reactivation of the agreement is to take effect.2A notice under paragraph 7(1) must—astate that the contractor wishes to reactivate the agreement and specify the date on which the contractor would like the proposed reactivation to take effect which must be a date which—ifalls at least six months after the date on which the notice was given, andiiimmediately follows the date on which the contractor intends to cease performing or, as the case may be, providing primary medical services under the relevant integrated care provider contract;bgive the name of each person who is a party to the agreement who intends to resume the provision of primary medical services under the agreement;cconfirm that the contractor has agreed, as appropriate, to the reactivation of the agreement; anddif the contractor wishes to reactivate the agreement as a general medical services contract, state that this is the case and confirm that the parties to the agreement have agreed, as appropriate, to the reactivation of the agreement as a general medical services contract.71NHS England must reactivate an agreement under this paragraph where the contractor has given notice in writing to NHS England in accordance with paragraph 6 of the intention to reactivate the agreement in accordance with, and subject to the conditions set out in, this Schedule.2NHS England must only reactivate an agreement under this paragraph with effect from—athe date which falls on the second anniversary of the date on which the suspension of that agreement took effect; orbsubsequently, on a date which falls every two years after the date specified in paragraph (a) during the duration of the integrated care provider contract.3NHS England must not reactivate an agreement which is of time limited duration where that agreement is to cease to have effect on a date which falls earlier than any of the dates specified in sub-paragraph (2)(a) or (b).4Subject to paragraph 8(7), NHS England may reactivate a suspended agreement as a general medical services contract where, in respect of that agreement, the right to a general medical services contract under regulation 32 exists.81The reactivation of an agreement is effective on the date which falls immediately after the date on which the contractor ceases performing or, as the case may be, providing primary medical services under an integrated care provider contract which must be—athe date specified in the notice given under paragraph 7(1); orbsuch later date as NHS England may approve in the circumstances of a particular case.2NHS England must not reactivate an agreement unless the conditions specified in sub-paragraph (3) are met.3The conditions specified in this sub-paragraph are that—athe contractor remains eligible to hold an agreement in accordance with the conditions set out in regulation 5 at the date on which the reactivation of the agreement is to take effect; andbNHS England is satisfied that, during the period in which the contractor’s agreement was suspended, the contractor has not acted or failed to act in a manner that gives rise to NHS England’s right to terminate the agreement under any of the provisions of Part 8 of Schedule 2.4Where the reactivation of the contractor’s agreement is intended to take effect on the second anniversary of the date on which the suspension of that agreement took effect, NHS England must notify in writing each person who resides in the contractor’s former practice area and who was on the list of registered service users of the integrated care provider that—athe contractor intends to resume the provision of primary medical services under the agreement in respect of people who reside in the contractor’s former practice area from the date specified in the notice; andbif the person was on the contractor’s list of registered patients immediately prior to the date on which the suspension of the contractor’s agreement took effect, the person will transfer onto the contractor’s list of registered patients from the date specified in the notice unless the person decides to remain registered with the integrated care provider or registers with another provider of primary medical services before that date.5Where the reactivation of the contractor’s agreement is intended to take effect after the second anniversary of the date on which the suspension of that agreement took effect, NHS England must notify in writing each person who resides in the contractor’s former practice area and who was on the list of registered service users of the integrated care provider that—athe contractor intends to resume the provision of primary medical services under the agreement in respect of people who reside in the contractor’s former practice area from the date specified in the notice; andbthe person will remain on the list of registered service users of the integrated care provider from the date specified in the notice unless the person decides to register with the contractor or with another provider of primary medical services before that date.6Where a suspended agreement is reactivated by NHS England, the terms of that agreement which are to apply are those terms which are effective at the date on which the reactivation takes effect, subject to any variation of those terms which may be agreed between the contractor and NHS England, including in respect of the right to a general medical services contract under regulation 32.7NHS England must not reactivate a suspended agreement as a general medical services contract unless—athe parties to that agreement have agreed, as appropriate, to the reactivation of that agreement as a general medical services contract; andbNHS England is satisfied that—iduring the period in which the contractor’s agreement was suspended, the contractor has not acted or failed to act in a manner that gives rise to NHS England’s right to terminate the agreement under any of the provisions of Part 8 of Schedule 2; andiithe parties to that agreement are eligible to hold a general medical services contract in accordance with the conditions set out in regulations 5 and 6 of the General Medical Services Contracts Regulations at the date on which the reactivation of the agreement as a general medical services contract is to take effect.91Where, at any time, an integrated care provider contract terminates or expires or is varied so that it no longer requires the integrated care provider to provide primary medical services to people who reside in a contractor’s former practice area—aNHS England must, subject to the conditions specified in paragraph 8(3), reactivate the contractor’s agreement with effect from the date which falls immediately after the date on which the integrated care provider contract terminated or, as the case may be, expired or was varied; andbthe contractor must, with effect from that date, resume the provision of primary medical services under the agreement to people who reside in the contractor’s former practice area.2Where an integrated care provider contract terminates or expires or is varied as described in sub-paragraph (1), NHS England must notify in writing each person who resides in the contractor’s former practice area and who was on the list of registered service users of the integrated care provider immediately before the date on which the integrated care provider contract terminated or, as the case may be, expired or was varied that—athe contractor has resumed providing primary medical services under the agreement from a specified date in respect of people who reside in the contractor’s former practice area; andbthe person will transfer onto the contractor’s list of registered patients from the date specified unless the person decides to register with another provider of primary medical services before that date.SCHEDULE 3 Regulation 891In regulation 2 of the Primary Medical Services (Sale of Goodwill and Restrictions on Sub-contracting) Regulations 2004 (interpretation), for the definition of “PMS Agreements Regulations” substitute—“PMS Agreements Regulations” means the National Health Service (Personal Medical Services Agreements) Regulations 2015;.2In regulation 2 of the Local Authority Social Services and National Health Service Complaints (England) Regulations 2009 (interpretation), for paragraph (b)(ii) of the definition of “relevant complaints procedure” substitute—iiregulation 76 of the National Health Service (Personal Medical Services Agreements) Regulations 2015;.3In regulation 2 of the National Health Service (Functions of the First-tier Tribunal relating to Primary Medical, Dental and Ophthalmic Services) Regulations 2010 (interpretation), for the definition of “PMS Agreements Regulations” substitute—“PMS Agreements Regulations” means the National Health Service (Personal Medical Services Agreements) Regulations 2015;.4In regulation 2 of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (interpretation), for the definition of “PMS Regulations” substitute—“PMS Regulations” means the National Health Service (Personal Medical Services Agreements) Regulations 2015;.5In regulation 2 of the National Health Service (Clinical Commissioning Groups – Disapplication of Responsibility Regulations 2013 (persons for whom an integrated care board does not have responsibility in relation to its duty to commission services), in paragraph (4)(a), for “paragraph 15 of Schedule 5 to the National Health Service (Personal Medical Services Agreements) Regulations 2004” substitute “ paragraph 19 of Schedule 2 to the National Health Service (Personal Medical Services Agreements) Regulations 2015 ”.6In regulation 11 of the National Health Service (Procurement, Patient Choice and Competition) (No 2) Regulations 2013 (patient choice: primary medical services), for paragraph (2)(b) substitute—aPart 2 of Schedule 2 to the National Health Service (Personal Medical Services Agreements) Regulations 2015 (other contractual terms - patients: general),.7In regulation 2 of the National Health Service (Charges for Drugs and Appliances) Regulations 2015 (interpretation), for “the National Health Service (Personal Medical Services Agreements) Regulations 2004” in the definition of “PMS contractor” substitute “the National Health Service (Personal Medical Services Agreements) Regulations 2015”.SCHEDULE 4 Regulation 901The enactments specified in column 1 of the Table to this Schedule are revoked to the extent specified in column 2 of that Table.Table

Title of instrument	Extent of revocation
The National Health Service (Personal Medical Services Agreements) Regulations 2004 (S.I.2004/627)	The whole instrument
The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2005 (S.I.2005/893)	Regulations 6 to 9 and 15
The National Health Service (Primary Medical Services) (Miscellaneous Amendments) (No.2) Regulations 2005 (S.I.2005/3315)	Regulations 8 to 13
The National Health Service (Performers Lists) (Amendment) Regulations 2005 (S.I.2005/3491)	Regulation 12(9)
The Primary Medical Services and Pharmaceutical Services Miscellaneous Amendments Regulations 2006 (S.I. 2006/501)	Regulations 4 and 5
The Local Involvement Networks (Miscellaneous Amendments) Regulations 2008 (S.I. 2008/1514)	Regulation 4
The Primary Ophthalmic Services Amendment, Transitional and Consequential Provisions Regulations 2008 (S.I.2008/1700)	Schedule 1, paragraph 13
The Local Authority Social Services and NHS (Complaints) (England) Regulations 2009 (S.I.2009/309)	Schedule, paragraph 4
The National Health Service (Miscellaneous Amendments Relating to Community Pharmaceutical Services and Optometrist Prescribing Regulations 2009 (S.I.2009/2205)	Regulation 36
The National Health Service (Prescribing and Charging Amendments Relating to Pharmaceutical Services) Regulations 2009 (S.I.2009/2230)	Regulation 4
. . .	. . .
The Transfer of Tribunal Functions Order 2010 (S.I.2010/22)	Schedule 3, paragraphs 59 to 61
The Pharmacy Order 2010 (S.I.2010/231)	Schedule 4, paragraph 42
The General Specialist Medical Practice (Education, Training and Qualifications) Order 2010 (S.I.2010/234)	Schedule 3, paragraph 13
The Health and Social Care Act (Consequential Provisions – Social Workers) Order 2012 (S.I.2012/1479)	Schedule, paragraph 38
The Human Medicines Regulations 2012 (S.I.2012/1916)	Schedule 34, paragraph 87
The Tribunals, Courts and Enforcement Act 2007(Consequential Amendments) Order 2012 (S.I.2012/2404)	Schedule 3, paragraph 33
The National Health Service (Primary Medical Services) (Miscellaneous Amendments and Transitional Provisions) Regulations 2013 (S.I.2013/363)	Parts 1 and 3
The Health Care and Associated Professions (Indemnity Arrangements) Order 2014 (S.I. 2014/1887)	Schedule 2, paragraph 2
The NHS (Amendments to Primary Care Terms of Service relating to the Electronic Prescription Service) Regulations 2015 (S.I. 2015/915)	Part 3

(This note is not part of the Regulations)

These Regulations consolidate provision previously contained in the National Health Service (Personal Medical Services Agreements) Regulations 2004 (S.I. 2004/627) as amended which are revoked by regulation 90 and Schedule 4. They set out, in relation to England, the framework for personal medical services contracts made by virtue of provision in section 92 of the National Health Service Act 2006 (“the Act”) (arrangements by the National Health Service Commissioning Board for the provision of primary medical services).

Part 2 (agreements) prescribes the conditions which, in accordance with section 93 of the Act, must be met by a contractor before the relevant body may enter into a personal medical services agreement.

Part 3 (pre-agreement dispute resolution) prescribes the procedure for pre-agreement dispute resolution, in accordance with section 94(7) of the Act. Part 3 applies to cases where the contractor is not a health service body.

Part 4 (health service body status) provides for a contractor to be a health service body for the purposes of section 9 of the Act (NHS contracts) unless it objects to this by serving a notice on the relevant body before the agreement is made.

Part 5 (and Part 1 of Schedule 2) (agreements: required terms) prescribe the terms which, in accordance with section 94 of the Act, must be included in a personal medical services agreement.

The prescribed terms include terms relating to:the type of and general terms of an agreement (regulations 12 and 13);membership of a CCG (regulation 14);the issuing of medical certificates (regulation 15);finance, payments, fees and charges (regulations 16 to 19);the manner in which services general services are to be provided (Part 1 of Schedule 2) and out of hours services are to be provided (regulation 22);the conditions to be met by those who perform services or are employed or engaged by the contractor (regulations 33 to 47);procedures for variation and termination of agreements and consequences of termination of the agreement (regulations 24 to 26);other required general terms (regulation 27)

Part 6 (out of hours services: opt outs) provides for a contractor to be able to “opt out” of the provision of out of hours services under a personal medical services agreement in certain circumstances.

Part 7 (right to a general medical services contract) provides a right for a contractor to terminate its agreement and enter into a general medical services contract.

Part 8 (persons who perform services) prescribes the required qualifications, conditions, experience and professional verification required for persons who are employed or engaged by a contractor to perform services under the agreement.

Part 9 (prescribing and dispensing) prescribes the terms which, in accordance with regulations 48, 49 and 52 to 55, a person, prescriber or health care worker may prescribe and dispense with drugs, medicines or appliances.

Part 10 (prescribing and dispensing: out of hours services) prescribes terms additional to those in Part 9 in relation to contractors providing out of hours services.

Part 11 (records and information) prescribes the manner in which a contractor is to provide and store all records and data including that associated with patients.

Part 12 (complaints) requires a contractor to establish and operate a complaints procedure to deal with any complaints in relation to any matter reasonably connected with the provision of services under the agreement. The complaints procedure must comply with the requirements of the Local Authority Social Services and National Health Service Complaints (England) Regulations 2009.

Part 13 (dispute resolution) prescribes the procedure which is to apply in respect of the resolution of disputes.

Part 14 (miscellaneous) sets out miscellaneous provisions which must a contractor must comply with in relation to a personal medical services agreement.

Part 15 (general transitional provision and saving and revocations) makes a general transitional provision and saving and revokes various enactments included in secondary legislation as a result of the coming into force of these Regulations including the revocation of the 2004 Regulations. The effect of the 2004 Regulations is saved for limited purposes.

2006 c.41. Section 93 of the National Health Service Act 2006 (“the Act”) was amended by paragraph 37 of Schedule 4 to the Health and Social Care Act 2012 (c.7) (“the 2012 Act”). Section 94 of the Act was amended by section 28(2) of, and paragraph 38(1) and (2) to, the 2012 Act, and by section 17(5) of, and paragraph 2(1)(b) and (2) of Schedule 9 to, the Crime and Courts Act 2013 (c.22). The powers exercised in making these Regulations are exercisable by the Secretary of State only in relation to England by virtue of section 271(1) of the Act. See section 275(1) of the Act for the meaning of “prescribed” and “regulations”.S.I. 2004/627; as amended by S.I. 2004/906 and 2694, S.I. 2005/893, 3315 and 3491, S.I. 2006/1501, S.I. 2007/3491, S.I. 2008/1700, S.I. 2009/309, 2205 and 2230, S.I. 2010/22, 231|, 234, 578 and 1621, S.I. 2012/970, 1479, 190, 1916 and 2404, S.I. 2013/363, S.I.2014/465, 1887 and 2721 and S.I. 2015/196 and 915. S.I. 2004/627 is revoked by regulation 90 of, and Schedule 4 to, these Regulations.Section 9 of the Act was amended by section 95 of, and paragraph 82 of Schedule 5 to, the Health and Social Care Act 2008 (c.14); paragraph 6 of Schedule 4 to the Health and Social Care Act 2012 (c.7) (“the 2012 Act”); paragraphs 1, 4, 17 and 18 of Schedule 14 and paragraph 10 of Schedule 17 to, the 2012 Act; paragraph 9 of Schedule 19 to the 2012 Act; paragraphs 5 and 6 of Schedule 21 to the 2012 Act; and paragraph 16 of Schedule 5 to the Care Act 2014 (c. 23).Section 92 was amended by paragraph 36 of Schedule 4 to the 2012 Act.Section 126 was amended by sections 213(7)(k) and 220(7) of, and paragraph 63 of Schedule 4 to, the 2012 Act.2006 c.52; a relevant amendment to section 374 was made by section 44(3) and (4) of the Defence Reform Act 2014 (c.20).1971 c.80.1968 c.67. Section 69 was amended by S.I. 2007/289 and 3101 and S.I. 2010/231.Section 129 was amended by sections 26 and 27 of, and paragraph 38 of and Schedule 6 to, the Health Act 2009 (c.21); section 207(1) to (9) of, and paragraph 66 of Schedule 4 to, the 2012 Act; section 115 of, and Schedule 9 to, the Protection of Freedoms Act 2012 (c.9) and by S.I. 2010/231.S.I. 2002/254; as amended by section 127 of the Health and Social Care Act 2008 (c.14), section 81(5) of the Policing and Crime Act 2009 (c.26), sections 213, 214(2) to (4), 215, 216, 218 and 219 of the Health and Social Care Act 2012, section 5(2) of, and paragraph 6 of the Schedule to, the Health and Social Care (Safety and Quality) Act 2015 (c.28), and by S.I. 2003/3148, S.I. 2004/1947 and 2033, S.I. 2007/3101, S.I. 2009/1182, S.I. 2010/233, S.I. 2011/1043, S.I. 2012/1479 and 2672 and S.I. 2014/1887.2006 c.41. Section 126 was amended by paragraph 63 of Schedule 4 to the Health and Social Care Act 2012 (c.7) (“the 2012 Act”). Section 132 was amended by paragraph 69 of Schedule 4 to the 2012 Act, paragraphs 120 and 122 of Schedule 9 to the Protection of Freedoms Act 2012 (c.9), and by S.I. 2008/289 and S.I. 2010/22 and 231.Section 127 was amended by paragraph 64 of Schedule 4 to the 2012 Act. See also regulation 89(1) of the National Health Service (Pharmaceutical and Local Pharmaceutical Services) Regulations 2013 (S.I. 2013/349) in relation to the publication known as the Drug Tariff.2000 c.7. Section 15(1) was amended by section 406(1) of, and paragraph 158 of Schedule 17 to, the Communications Act 2003 (c.21).1983 c.54. Section 2 was amended by S.I. 2002/3135, S.I. 2006/1914, S.I. 2007/3101, S.I. 2008/1774 and S.I. 2014/1101.S.I.2015/1862.1983 c.54. Section 34I was inserted by S.I. 2010/234.S.I. 1972/1265 (N.I.14). Article 16 was repealed by the Health and Social Care (Reform) Act 2009 (c.1) (N. I.), paragraph 6 of Schedule 3 and Schedule 7.S.I. 1991/194 (N.I.1); as amended by section 11 of, and paragraph 13 of Schedule 6 to, the Health and Social Care Reform Act (Northern Ireland) 2009 and by S.I. 1997/1177.1978 c.29. Section 2 was amended by paragraph 1 of Schedule 7 to S.I. 1991/194 (N.I. 1); and paragraph 1 of Schedule 7 to, the Health and Social Services and Social Security Adjudications Act 1983 (c.41); paragraph 1(2)(a) and (b) of Schedule 1 to the National Health Service Reform (Scotland) Act 2004 (asp 7); sections 2(1)(a) and 28(a)(ii), (b) and (c) of Schedule 1, and paragraph 19(1) of Schedule 9 and paragraph 1 of Schedule 10 to, the National Health Service and Community Care Act 1990 (c.19); paragraph 2(2) of Schedule 2 to the Smoking, Health and Social Care (Scotland) Act 2005 (asp 13), and sections 2(1), 4, 6(2) and (3), 7 and 11(1) of the Health Boards (Membership and Elections) (Scotland) Act 2005 (asp 5).Section 108 was amended by section 204 of, and paragraph 49 of Schedule 4 to, the Health and Social Care Act 2012 (“the 2012 Act”).2006 c.41. Section 9 of the Act was amended by section 95 of, and paragraph 82 of Schedule 5 to, the Health and Social Care Act 2008 (c.14); paragraph 6 of Schedule 4 to the Health and Social Care Act 2012 (c.7) (“the 2012 Act”); paragraphs 1, 4, 17 and 18 of Schedule 14 and paragraph 10 of Schedule 17 to, the 2012 Act; paragraph 9 of Schedule 19 to the 2012 Act; paragraphs 5 and 6 of Schedule 21 to the 2012 Act; and paragraph 16 of Schedule 5 to the Care Act 2014 (c. 23).1989 c.41.2006 c.42.2006 c.41. Section 97 was amended by paragraph 41 of Schedule 4 to the Health and Social Care Act 2012 (c.7) (“the 2012 Act”).Section 91 was amended by paragraph 35 of Schedule 4 to the 2012 Act.1983 c.54. Section 2 was amended by S.I. 2002/3135, S.I. 2006/1914, S.I. 2007/3101, S.I.2008/1774 and S.I. 2014/1101.Section 159 was amended by section 306(1)(d) of, and paragraph 85(1)(d) of Schedule 4 to, the 2012 Act.Sections 91(3), 106(3) and 123(3) were respectively amended by paragraph 35(1) and (2)(b) and (4), 45 and 60(1) and (2)(b) of Schedule 4 to, the 2012 Act. Sections 146 and 149 of the Act are repealed by section 208(1) of the 2012 Act. Section 147A was inserted by section 208(2) of the 2012 Act and was amended by paragraphs 120 and 123 of Schedule 9 to the Protection of Freedoms Act 2012 (c.9). Section 208 of the 2012 Act is to be commenced on a day to be appointed. No regulations have been made under section 147A of the Act.Section 9 of the Act was amended by section 95 of, and paragraph 82 of Schedule 5 to, the Health and Social Care Act 2008 (c.14); paragraph 6 of Schedule 4 to the Health and Social Care Act 2012 (c.7) (“the 2012 Act”); paragraphs 1, 4, 17 and 18 of Schedule 14 and paragraph 10 of Schedule 17 to, the 2012 Act; paragraph 9 of Schedule 19 to the 2012 Act; paragraphs 5 and 6 of Schedule 21 to the 2012 Act; and paragraph 16 of Schedule 5 to the Care Act 2014 (c. 23).Section 30 was amended by section 159(1) of the Health and Social Care Act 2012 (c.7) (“the 2012 Act”).Section 25 of the Act is repealed by section 179(2) of the 2012 Act from a date to be appointed.S.I. 2002/253; article 5 was amended by S.I. 2009/182.1989 c.44. Section 7 was amended by S.I. 2005/848.S.I. 2010/231; as amended by S.I. 2011/1043, S.I. 2012/3006, S.I. 2013/235 and S.I. 2014/1887.S.I.1976/1231 (N.I.22). Article 6(1) was substituted by regulation 5 of S.R 2008/192 and article 9(2) was amended by regulation 9 of that instrument.S.I. 2002/254; as amended by section 127 of the Health and Social Care Act 2008 (c.14), section 81(5) of the Policing and Crime Act 2009 (c.26), sections 213, 214(2) to (4), 215, 216, 218 and 219 of the Health and Social Care Act 2012, section 5(2) of, and paragraph 6 of the Schedule to, the Health and Social Care (Safety and Quality) Act 2015 (c.28), and by S.I. 2003/3148, S.I. 2004/1947 and 2033, S.I. 2007/3101, S.I. 2009/1182, S.I. 2010/233, S.I. 2011/1043, S.I. 2012/1479 and 2672 and S.I. 2014/1887.1983 c.54. Section 10A was inserted by S.I. 2006/1914, and was amended by S.I. 2008/3131.The NHS Business Services Authority was established by the NHS Business Services Authority (Awdurdod Gwasanaethau Busnes y GIG) (Establishment and Constitution) Order 2005 (S.I. 2005/2414). S.I. 2005/2414 was amended by S.I. 2006/632, S.I. 2007/1201 and S.I. 2013/235.S.I. 2012/1916; as amended by S.I. 2013/235, 1855 and 2593 and S.I. 2014/490 and 1887, S.I 2015/323, 570, 903 and 1503.Sections 91(3), 106(3) and 123(3) were respectively amended by paragraph 35(1) and (2)(b) and (4), 45 and 60(1) and (2)(b) of Schedule 4 to, the 2012 Act. Sections 146 and 149 of the Act are repealed by section 208(1) of the 2012 Act. Section 147A was inserted by section 208(2) of the 2012 Act and was amended by paragraphs 120 and 123 of Schedule 9 to the Protection of Freedoms Act 2012 (c.9). Section 208 of the 2012 Act is to be commenced on a day to be appointed. No regulations have been made under section 147A of the Act.2012 c.7.S.I. 2010/231; as amended by S.I. 2011/1043 and 2159, , S.I. 2012/1909, 2672 and 3006, S.I. 2013/50, 235, 349 and 1478 and S.I. 2014/1887 and S.I. 2015/806 and 968.S.I.1976/1231 (N.I.22). Article 6(1) was substituted by regulation 5 of S.R. 2008/192, and article 9(2) was amended by regulation 9 of S.I. 2008/192.1989 c.44. Section 7 was amended by S.I. 2005/848.S.I.2002/254; as amended by section 127 of the Health and Social Care Act 2008 (c.14), section 81(5) of the Policing and Crime Act 2009 (c.26), sections 213, 214(2) to (4), 215, 216, 218 and 219 of the Health and Social Care Act 2012, section 5(2) of, and paragraph 6 of the Schedule to, the Health and Social Care (Safety and Quality) Act 2015 (c.28), and by S.I. 2003/3148, S.I. 2004/1947 and 2033, S.I. 2007/3101, S.I. 2009/1182, S.I. 2010/233, S.I. 2011/1043, S.I. 2012/1479 and 2672 and S.I. 2014/1887.The NHS Business Services Authority was established by the NHS Business Services Authority (Awdurdod Gwasanaethau Busnes y GIG) (Establishment and Constitution) Order 2005 (S.I.2005/2414). S.I.2005/2414 was amended by S.I. 2006/632, S.I. 2007/1201 and S.I. 2013/235.S.I. 2010/231; as amended by S.I. 2011/1043 and 2159, , S.I. 2012/1909, 2672 and 3006, S.I. 2013/50, 235, 349 and 1478 and S.I. 2014/1887 and S.I. 2015/806 and 968.S.I. 1976/1213 (N.I. 22). Article 6(1) was substituted by regulation 5 of S.R. 2008/192, and article 9(2) was amended by regulation 9 of that instrument.1989 c.44. Section 7 was amended by S.I. 2005/848.2012 c.7.Section 151 was amended by paragraph 79 of Schedule 4 to the Health and Social Care Act 2012 (c.7).1933 c.12. Schedule 1 was amended by section 51 of, and Schedule 4 to, the Sexual Offences Act 1956 (c.99); paragraph 8 of Schedule 15, and section 170(2) of, and Schedule 16 to, the Criminal Justice Act 1988 (c.33); section 139 of, and paragraph 7 of Schedule 6 to, the Sexual Offences Act 2003 (c.42); section 58(1) of, and Schedule 10 to, the Domestic Violence, Crime and Victims Act 2004 (c.28); paragraph 53 of Schedule 21 to Coroners and Justice Act 2009 (c.25); section 115(1) of, and paragraph 136(a) and (b) of Schedule 9 to, the Protection of Freedoms Act 2012 (c. 9); and section 7(1) of, and paragraph 1 of Schedule 5 to, the Modern Slavery Act 2015 (c.30).1995 c.46. Schedule 1 was amended by paragraph 2(8)(a) of Schedule 5 to the Sexual Offences (Scotland) Act 2009 (asp 9) which inserted paragraphs 1A to 1D into that Schedule.2006 c.47. Section 2 was amended by articles 3(a) and 4 of S.I. 2012/3006S.I. 2007/1351 (N.I. 11); as amended by section 81(2) and (3)(o)(i) and 116(5)(a) of the Policing and Crime Act 2009 (c.26).2005 asp 10. Section 34 was amended by section 122 of the Public Services Reform (Scotland) Act 2010 (asp 8).1986 c.45. Schedule 4A was inserted by Schedule 20 to the Enterprise Act 2002 (c.40) and was amended by section 71(3) of, and paragraph 63(1), (3), (2)(a) and (b) to, the Enterprise and Regulatory Reform Act 2013 (c.24).S.I. 1989/2405 (N.I. 19). Schedule 2A was inserted by article 13(2) of, and Schedule 5 to, S.I. 2005/1455 (N.I. 10).1985 c.66. Sections 56A to 56K were inserted by section 2(1) of the Bankruptcy and Diligence etc. (Scotland) Act 2007 (asp 3).1986 c.45. Part VIIA was inserted by section 108(1) of, and Schedule 17 to, the Tribunals, Courts and Enforcement Act 2007 (c.15).1986 c.45. Schedule 4ZB was inserted by section 108(2) of and Schedule 19 to the Tribunals, Courts and Enforcement Act 2007.1986 c.46. Section 1 was amended by sections 5(1) and (2) and 8 of the Insolvency Act 2000 (c.40), section 204(1) and (3) of the Enterprise Act 2002 (c.40), and sections 111 and 164(1) of, and paragraphs 1 and 2 of Schedule 7 to, the Small Business Enterprise and Employment Act 2015 (c.26).1986 c.46. Section 1A was inserted by section 6(1) and (2) of the Insolvency Act 2000 (c.39), and was amended by section 111 of, and paragraphs 1 and 3(1) and (2) of Schedule 7 to, the Small Business Enterprise and Employment Act 2015.S.I. 2002/3150 (N.I. 4).1986 c.45. Section 429 was amended by section 269 of, and Schedule 23 to, the Enterprise Act 2002, and by section 106 of, and Schedule 16 to, the Tribunals, Courts and Enforcement Act 2007.1986 c.45. Schedule B1 was inserted by section 248(2) of, and Schedule 16 to, the Enterprise Act 2002.2012 c.7.An appeal may be made to the First-tier Tribunal (Primary Health Lists) against a decision by the National health Service Commissioning Board to refuse to enter a person in a list, to remove a person from a list or regarding the conditions relating to that person's entry in a list. The First-tier Tribunal was established in 2008 by Part 1 of the Tribunals, Courts and Enforcement Act 2007 (c.15). The Health, Education and Social Chamber is responsible for hearing appeals concerning matters relating to the Health Service in England and Wales.S.I. 1976/615; as amended by S.I. 1982/699, S.I.1987/409, S.I. 1989/1686, S.I. 1991/2284, S.I.1994/2975, S.I.1999/3109, S.I.2001/2931, S.I. 2002/881 and 2469, S.I. 2004/1771, S.I. 2008/1554, S.I. 2010/137, S.I. 2013/235 and 630.S.I. 1985/1604; as amended by S.I. 1992/247 and S.I. 2010/137.Sections 92 was amended by paragraphs 36 of Schedule 4 to the Health and Social Care Act 2012 (c.7) (“the 2012 Act”). Section 94 was amended by section 28(2) of, and paragraph 38(1) and (2) to, the 2012 Act, and by section 17(5) of, and paragraph 2(1)(b) and (2) of Schedule 9 to, the Crime and Courts Act 2013 (c.22). Section 98A was inserted by section 49(1) of the 2012 Act.1988 c.52. Section 158 was amended by section 20(2) of the Community Care and Health (Scotland) Act 2002 (asp 5) and by S.I. 1995/889.Section 115 was amended by paragraph 54 of Schedule 4 to the Health and Social Care Act 2012 (c.7) (“the 2012 Act”).Section 126 was amended by sections 213(7)(k) and 220(7) of, and paragraph 63 of Schedule 4 to, the 2012 Act.Section 129 was amended by section 26, 27 and 38 of, and Schedule 6 to, the Health Act 2009 (c.7); section 207(1) to (9) of, and paragraph 66 of Schedule 4 to, the 2012 Act; paragraph 121 of Schedule 9 to the Protection of Freedoms Act 2012 (c. 9); and by S.I. 2007/289 and S.I. 2010/231.Section 98A was inserted by section 49(1) of the Health and Social Care Act 2012 (c.7).Section 86 was amended by paragraph 32 of Schedule 4 to the Health and Social Care Act 2012 (c.7).The First-tier Tribunal was established in 2008 by Part 1 of the Tribunals, Courts and Enforcement Act 2007 (c.15). The Health, Education and Social Chamber is responsible for hearing appeals concerning matters relating to the Health Service in England and Wales.This guidance last published in May 2014 is available at http://specialtytraining.hee.nhs.uk/files/2013/10/A-Reference-Guide-for-Postgraduate-Specialty-Training-in-the-UK.pdf. Hard copies are available from Health Education England, 1st Floor, Blenheim House, Duncombe Street, Leeds, LS1 4PL.1983 c.54. Section 15 was substituted by articles 2 and 26 of S.I. 2006/1914. Section 15A was inserted by regulations 2 and 3 of S.I. 2000/3041, and was amended by S.I. 2006/1914 and S.I. 2007/1043. Section 21 was amended by S.I. 1996/1591, S.I. 2002/3135, S.I. 2006/1914 and S.I. 2007/3101.S.I. 2001/3998. Schedule 2 was amended by S.I. 2003/1432, S.I. 2009/3136, S.I. 2011/448, S.I. 2014/1275 and 3277 and S.I. 2015/891.1971 c.38. Section 2 was amended by paragraphs 1 and 2 of Schedule 17 to the Police Reform and Social Responsibility Act 2011 (c. 13).S.I. 2001/3998; Schedule 4 was amended by S.I. 2003/1432, S.I. 2005/3372, S.I. 2007/2154, S.I. 2009/3136, S.I. 2013/625, S.I. 2014/1275 and 3277 and S.I. 2015/891. Schedule 5 was amended by S.I. 2005/2864.The Health and Social Care Information Centre is a body corporate established by section 252(1) of the Health and Social Care Act 2012 (c.7).Section 126 was amended by sections 213(7)(k) and 220(7) of, and paragraph 63 of Schedule 4 to, the Health and Social Care Act 2012 (c.7) (“the 2012 Act”).Section 132 was amended by paragraph 69 of Schedule 4 to the 2012 Act, section 115(1) of, and paragraphs 120 and 121 of Schedule 9 to, the Protection of Freedoms Act 2012 (c.9), and by S.I. 2007/289 and S.I. 2010/22 and 231.1971 c.38.S.I. 2001/3998. Schedule 4 was amended by S.I. 2003/1432, S.I. 2005/3372, S.I. 2007/2154, S.I. 2012/973, S.I. 2013/625, S.I. 2014/1275 and 3277 and S.I. 2015/1891. Schedule 5 was amended by S.I. 2005/2864.S.I. 2001/3998. Schedules 2 and 3 were amended by S.I. 2003/1432, S.I. 2007/2154, S.I. 2009/3136, S.I. 2011/448, S.I. 2012/1311, S.I. 2014/1275 and 3277 and S.I. 2015/891.S.I. 2012/1916. There are no amendments to regulation 215.S.I. 2012/1916; as amended by S.I. 2013/235, 1855 and 2593 and S.I. 2014/490 and 1887, S.I. 2015/323, 570, 903 and 1503.S.I. 2012/1916. There are no relevant amendments to regulation 213.S.I 2004/629. There are no amendments to Schedule 1.S.I. 2001/3998. Schedule 2 was amended by S.I. 2004/3215, S.I. 2009/2230, S.I. 2010/2389, S.I. 2011/680 and 1043, S.I. 2013/363 and 2194, S.I. 2012/2389 and S.I. 2014/1625.The Regulations made under sections 172 and 174 are the National Health Service (Travel Expenses and Remission of Charges) Regulations 2003 (S.I. 2003/2382) and the National Health Service (Charges for Drugs and Appliances) Regulations 2015 (S.I. 2015/570). S.I. 2003/2382 was amended by S.I. 2004/633 and 936, S.I. 2005/26, 578 and 2114, S.I. 2006/562, 675 and 2171, S.I. 2007/1898, S.I. 2008/571, 1697, 1700 and 2868, S.I. 2009/411, S.I. 2010/620, S.I. 2011/1587, S.I. 2013/458, 475 and 1600, and S.I. 2015/417, 643, 570, 993 and 1776.Section 183 was amended paragraph 98 of Schedule 4 to the 2012 Act and by S.I. 2010/915 and S.I. 2013/2269.S.I. 2002/254; as amended by section 127 of the Health and Social Care Act 2008 (c.14), section 81(5) of the Policing and Crime Act 2009 (c.26), sections 213, 214(2) to (4), 215, 216, 218 and 219 of the Health and Social Care Act 2012, section 5(2) of, and paragraph 6 of the Schedule to, the Health and Social Care (Safety and Quality) Act 2015 (c.28), and by S.I. 2003/3148, S.I. 2004/1947 and 2033, S.I. 2007/3101, S.I. 2009/1182, S.I. 2010/233, S.I. 2011/1043, S.I. 2012/1479 and 2672 and S.I. 2014/1887.S.I. 2009/309; as amended by S.I. 2009/1768, S.I. 2012/1909 and S.I.2013/235 and 349.1970 c.42. Section 1 was amended by section 22(4) of, and Schedule 10 to, the Local Government (Wales) Act 1994 (c.19).1994 c.39. Section 2 was amended by paragraph 232(1) of Schedule 22 to the Environment Act 1995 (c.25).1993 c.46. Section 1 was amended by section 195 of the Local Government Act 1972 (c.70); section 224 of, and paragraph 7 of Schedule 7 to, the Local Government (Wales) Act 1994; section 112 of, and paragraph 10 of Schedule 10 to, the Government of Wales Act 1998 (c.38); section 39(1) of, and Schedules 6 and 7 to, the Public Service Ombudsman (Wales) Act 2005 (c.10); and by S.I.2004/1823. The Act is repealed in relation to Scotland by the Scottish Public Service Ombudsman Act 2002 (asp 11).1971 c.38. Section 2 was amended by section 151 of, and paragraphs 1 and 2 of Schedule 17 to, the Police Reform and Social Responsibility Act 2011 (c.13).See the guidance for GP practices on the Friends and Family Test, published in July 2014, which is available in full and summary form at: http://www.england.nhs.uk/ourwork/pe/fft-guidance/. Hard copies of this guidance are available from Primary Care Contracting, NHS Employers, 50 Broadway, London SW1H 0DR.See pages 7 and 8 of the full Guidance for GP Practices on the Friends and Family Test in respect of the requirement on GP practices to submit monthly reports to the Board and to publish the results of completed tests. This guidance is available at http://www.england.nhs.uk/ourwork/pe/fft-guidance/. Hard copies of this guidance are available from Primary Care Contracting, NHS Employers, 50 Broadway, London SW1H 0DB.S.I. 2013/373.Section 1F was inserted by section 7 of the Health and Social Care Act 2012 (c.7).2014 c.23. See section 97 of the Care Act 2014 for the duty on Health Education England to exercise the Secretary of State's functions under section 1F of the Act.2012 c.7.1865 c.45. Section 3, which makes provision for the payment of naval and marine pay and pensions by Order in Council, was amended by section 4 of the Armed Forces (Pensions and Compensations) Act 2004 (c. 32) and by section 378(1) of, and Schedule 16 to, the Armed Forces Act 2006 (c 52).1917 c.51.1939 c.83.1939 c.82.1992 c.5.1992 c.4.1998 c.14.1953 c.20. Section 11 was amended by section 2 of the Population (Statistics) Act 1960 (c.32), section 23(4) of the Nurses, Midwives and Health Visitors Act 1979 (c.36), and by S.I .1968/1242, S.I. 1968/1242 and S.I. 1996/2395.1983 c.20. Section 142 of the Mental Health Act 1983 was repealed by section 67 of the Mental Capacity Act 2005 (c.5). See paragraph 29 of Schedule 26 to the Mental Capacity Act 2005 which enables payments made under section 142 before the date on which it was revoked to continue to be made.1974 c.23.1985 c.17.1985 c.50.2006 c.41.1992 c.14.The World Health Organisation Alcohol Use Disorders Identification Test (AUDIT) questionnaire can be accessed at http://www.qho.int/substance_abuse/activities/sbi/en/. Further information about the Test, and the questionnaires themselves, is available in hard copy form from NHS England, PO Box 16738, Redditch, BP97 7PT.1989 c.41.2005 c.9.Defence Medical Services is an umbrella organisation within the Ministry of Defence which is responsible for the provision of medical, dental and nursing services in the United Kingdom to members of the armed forces of the Crown.1989 c.41.2005 c.9.Section 83 was amended by paragraph 30 of Schedule 4 to the Health and Social Care Act 2012 (c.7)See section 194 of the Health and Social Care Act 2012 which requires a local authority to establish a Health and Wellbeing Board for its area.Local Healthwatch organisations are bodies corporate with which a local authority may enter into arrangements under section 222 of the Local Government and Public Involvement in Health Act 2007 (c.28) for the purpose of discharging its functions. Section 222 was amended by section 183 of, and Schedules 5 and 14 to, the Health and Social Care Act 2012.Section 259 was amended by paragraph 131 of Schedule 4 to the Health and Social Care Act 2012 (c.7).1986 c.45. Section 123 was modified by section 90 of, and Schedule 15 to, the Building Societies Act 1986 (c.5), and by the section 23 of, and Schedule 10 to, the Friendly Societies Act 1992 (c.40).Section 93 was amended by paragraph 37 of Schedule 4 to the Health and Social Care Act 2012 (c.7).2008 c.14.2007 c.28. See section 225(5) for the meaning of “authorised representative”. Section 225 was amended by section 179 of, and Schedule 14 to, the Health and Social Care Act 2014 (c.7) (“the 2012 Act”); section 186(6) to (11) of, and Schedule 5 to, the 2012 Act; and paragraphs 148 to 151 of Schedule 5 to the 2012 Act.Section 151 was amended by paragraph 79 of Schedule 4 to the Health and Social Care Act 2012 (c.7).1933 c.12. Schedule 1 was amended by section 51 of, and Schedule 4 to, the Sexual Offences Act 1956 (c.99); section 170 of, and Schedule 10 to, the Criminal Justice Act 1988 (c.33); section 139 of, and Schedule 6 to, the Sexual Offences Act 2003 (c.42); section 58(1) of, and Schedule 10 to, the Domestic Violence, Crime and Victims Act 2004 (c.28); and section 115(1) of, and Schedule 10 to, the Protection of Freedoms Act 2012 (c. 9).1995 c.46.2006 c.47.S.I. 2007/1351 (N.I.11)2005 asp 10.1986 c.45. Schedule 4A was inserted by section 257(2) of and Schedule 20 to the Enterprise Act 2002 (c.40).S.I.1989/2405 (N.I. 19). Schedule 2A was inserted by article 13(2) of, and Schedule 5 to, S.I. 2005/455 (N.I.10)).1985 c.66. Sections 56A to 56K were inserted by the Bankruptcy and Diligence etc. (Scotland) Act 2007 (asp 3).1986 c.45. Part VIIA was inserted by section 108(1) of, and Schedule 17 to, the Tribunals, Courts and Enforcement Act 2007 (c.15).Schedule 4ZB was inserted by section 108(2) of, and Schedule 19 to, the Tribunals, Courts and Enforcement Act 2007.1986 c.45. Part IV was substituted by S.I. 2009/1941.1986 c.45. Schedule B1 was inserted by section 248(2) of, and Schedule 16 to, the Enterprise Act 2002 (c.40).1986 c.46.Section 1 was amended by sections 5(1) and (2) and (8) of the Insolvency Act 2000 (c.40), section 204(1) and (3) of the Enterprise Act 2002 (c.40) and sections 111 and 164 of, and paragraphs 1 and 2 of Schedule 7 to, the Small Business, Enterprise and Employment Act 2015 (c.26)Section 1A was inserted by section 6(1) and (2) of the Insolvency Act 2000 (c.39), and was amended by section 111 of, and paragraphs 1, 3(1) and (2) of Schedule 7 to, the Small Business, Enterprise and Employment Act 2015.S.I. 2002/3150 (N.I. 4); as amended by S.I. 2004/347, S.I. 2005/1454 and 1455.1986 c.45. Section 429 was amended by section 269 of, and Schedule 3 to, the Enterprise Act 2002, and section 106 of, and Schedule 16 to, the Tribunals, Courts and Enforcement Act 2007.S.I. 2004/906.There are no relevant amending instruments.S.I. 2009/309. Paragraphs (a)(i), (ia), (ii) and (iii) of the definition of “relevant complaints procedure” were substituted by regulation 120 of, and paragraph 7(a) of Schedule 10 to S.I. 2013/349.S.I. 2010/76. The definition of “PMS Agreements Regulations” was amended by article 11 of, and Part 1 of Schedule 2 to, S.I. 2013/235.S.I. 2013/349. There are no relevant amending instruments.S.I. 2013/350. There are no relevant amending instruments.S.I. 2013/500.There are no relevant amending instruments.S.I. 2015/570.There are no relevant amending instruments.Word in reg. 5(2)(l)(i) substituted (6.4.2016) by The Enterprise and Regulatory Reform Act 2013 (Consequential Amendments) (Bankruptcy) and the Small Business, Enterprise and Employment Act 2015 (Consequential Amendments) Regulations 2016 (S.I. 2016/481), reg. 1, Sch. 2 para. 13Word in reg. 73(2) omitted (6.4.2016) by virtue of The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) (Secondary Legislation) Regulations 2016 (S.I. 2016/211), reg. 1(2), Sch. 3 para. 187(a)Word in reg. 73(2) substituted (6.4.2016) by The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) (Secondary Legislation) Regulations 2016 (S.I. 2016/211), reg. 1(2), Sch. 3 para. 187(b)Words in reg. 73(2) inserted (6.4.2016) by The Social Services and Well-being (Wales) Act 2014 (Consequential Amendments) (Secondary Legislation) Regulations 2016 (S.I. 2016/211), reg. 1(2), Sch. 3 para. 187(c)Word in Sch. 2 Pt. 8 para. 58(4)(l)(i) substituted (6.4.2016) by The Enterprise and Regulatory Reform Act 2013 (Consequential Amendments) (Bankruptcy) and the Small Business, Enterprise and Employment Act 2015 (Consequential Amendments) Regulations 2016 (S.I. 2016/481), reg. 1, Sch. 2 para. 13Words in reg. 3 substituted (22.7.2016) by The Electronic Identification and Trust Services for Electronic Transactions Regulations 2016 (S.I. 2016/696), reg. 1, Sch. 3 para. 16(a)Words in reg. 3 inserted (22.7.2016) by The Electronic Identification and Trust Services for Electronic Transactions Regulations 2016 (S.I. 2016/696), reg. 1, Sch. 3 para. 16(b)Words in reg. 3 inserted (22.7.2016) by The Electronic Identification and Trust Services for Electronic Transactions Regulations 2016 (S.I. 2016/696), reg. 1, Sch. 3 para. 16(c)Reg. 60(6)-(6D) substituted for reg. 60(6) (3.10.2016) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2016 (S.I. 2016/875), regs. 1(2), 5(a)Reg. 60(7) omitted (3.10.2016) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2016 (S.I. 2016/875), regs. 1(2), 5(b)Reg. 60(8) omitted (3.10.2016) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2016 (S.I. 2016/875), regs. 1(2), 5(c)Words in reg. 61(1) substituted (3.10.2016) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2016 (S.I. 2016/875), regs. 1(2), 6Words in reg. 3(1) inserted (5.12.2016) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2016 (S.I. 2016/1077), regs. 1(1), 24(c)Regs. 67B-67F inserted (6.10.2017) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2017 (S.I. 2017/908), regs. 1(2), 6Sch. 2 para. 14A inserted (6.10.2017) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2017 (S.I. 2017/908), regs. 1(2), 7Sch. 2 para. 18A inserted (6.10.2017) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2017 (S.I. 2017/908), regs. 1(2), 8Words in Sch. 4 omitted (6.10.2017) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2017 (S.I. 2017/908), regs. 1(2), 9(a)Words in Sch. 4 omitted (6.10.2017) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2017 (S.I. 2017/908), regs. 1(2), 9(b)Reg. 64A inserted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 12Sch. 2 para. 16A inserted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 14Words in reg. 3 inserted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 9(a)Words in reg. 3 substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 9(b)Words in reg. 3 substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 9(c)Words in reg. 3 substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 9(d)Words in reg. 22(4)(a) substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 10(a)Words in reg. 22(5)(a) substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 10(b)Words in reg. 22(5)(c)(ii) substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 10(c)Reg. 64(7) omitted (1.10.2018) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 11Words in Sch. 2 para. 14A(1) inserted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 13Sch. 2 para. 24(1A) inserted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 15(a)Sch. 2 para. 24(2A) inserted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 15(b)Words in Sch. 2 para. 24(3) substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 15(c)Words in Sch. 2 para. 24(4) substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 15(c)Words in Sch. 2 para. 24(5) substituted (1.10.2018) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2018 (S.I. 2018/844), regs. 1(2), 15(c)Words in reg. 3 substituted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 20(2)Words in reg. 3 substituted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 20(3)Words in reg. 3 inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 20(4)Words in reg. 3 inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 20(5)Words in reg. 3 inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 20(6)Reg. 49(1A)(1B) inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 21(3)Words in reg. 49(1) substituted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 21(2)Reg. 50(1A)-(1C) inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 22(3)Reg. 50(3)(4) omitted (26.11.2018) by virtue of The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 22(4)Reg. 50(1)(a)(b) omitted (26.11.2018) by virtue of The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 22(2)Words in reg. 51(1) inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 23(2)(a)Words in reg. 51(1)(a) inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 23(2)(b)Reg. 51(3) omitted (26.11.2018) by virtue of The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 23(3)Words in reg. 51(4)(a) inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 23(4)(a)Words in reg. 51(4)(b) inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 23(4)(b)(i)Words in reg. 51(4)(b) inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 23(4)(b)(ii)Words in reg. 51(4)(b) inserted (26.11.2018) by The National Health Service (Pharmaceutical Services, Charges and Prescribing) (Amendment) Regulations 2018 (S.I. 2018/1114), regs. 1(1), 23(4)(b)(iii)Reg. 24A inserted (E.) (1.4.2019) by The Amendments Relating to the Provision of Integrated Care Regulations 2019 (S.I. 2019/248), regs. 1(1), 32Sch. 2A inserted (E.) (1.4.2019) by The Amendments Relating to the Provision of Integrated Care Regulations 2019 (S.I. 2019/248), regs. 1(1), 33Reg. 53A inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 22Reg. 67G inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 26Sch. 2 paras. 44A-44C inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 31Sch. 2 para. 10A inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 28Sch. 2 para. 16B inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 29Sch. 2 Pt. 6 heading substituted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 30Words in Sch. 2 para. 10(1)(a) inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 27Reg. 67C Table substituted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 25Reg. 67A omitted (1.10.2019) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 24Reg. 64(4) omitted (1.10.2019) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 23(b)Reg. 64(6) omitted (1.10.2019) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 23(b)Reg. 64(3)(3A) substituted for reg. 64(3) (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 23(a)Reg. 64(9) substituted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 23(d)Reg. 48(2) substituted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 21Reg. 18(2A)(2B) inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 20Reg. 13(4) inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 19Words in reg. 3 inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 18(a)Words in reg. 3 inserted (1.10.2019) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2019 (S.I. 2019/1137), regs. 1(2), 18(b)Words in reg. 3 substituted (2.12.2019) by The Children and Social Work Act 2017 (Consequential Amendments) (Social Workers) Regulations 2019 (S.I. 2019/1094), reg. 1, Sch. 2 para. 36(a)(i); S.I. 2019/1436, reg. 2(b)Words in reg. 3 substituted (2.12.2019) by The Children and Social Work Act 2017 (Consequential Amendments) (Social Workers) Regulations 2019 (S.I. 2019/1094), reg. 1, Sch. 2 para. 36(a)(ii); S.I. 2019/1436, reg. 2(b)Words in reg. 3 substituted (2.12.2019) by The Children and Social Work Act 2017 (Consequential Amendments) (Social Workers) Regulations 2019 (S.I. 2019/1094), reg. 1, Sch. 2 para. 36(a)(iii); S.I. 2019/1436, reg. 2(b)Words in reg. 3 substituted (2.12.2019) by The Children and Social Work Act 2017 (Consequential Amendments) (Social Workers) Regulations 2019 (S.I. 2019/1094), reg. 1, Sch. 2 para. 36(a)(iv); S.I. 2019/1436, reg. 2(b)Words in reg. 3 substituted (2.12.2019) by The Children and Social Work Act 2017 (Consequential Amendments) (Social Workers) Regulations 2019 (S.I. 2019/1094), reg. 1, Sch. 2 para. 36(a)(v); S.I. 2019/1436, reg. 2(b)Words in reg. 3 substituted (2.12.2019) by The Children and Social Work Act 2017 (Consequential Amendments) (Social Workers) Regulations 2019 (S.I. 2019/1094), reg. 1, Sch. 2 para. 36(a)(vi); S.I. 2019/1436, reg. 2(b)Words in reg. 69(4) substituted (2.12.2019) by The Children and Social Work Act 2017 (Consequential Amendments) (Social Workers) Regulations 2019 (S.I. 2019/1094), reg. 1, Sch. 2 para. 36(b)(i); S.I. 2019/1436, reg. 2(b)Words in reg. 69(4) substituted (2.12.2019) by The Children and Social Work Act 2017 (Consequential Amendments) (Social Workers) Regulations 2019 (S.I. 2019/1094), reg. 1, Sch. 2 para. 36(b)(ii); S.I. 2019/1436, reg. 2(b)Regs. 3A, 3B inserted (27.3.2020) by The National Health Service (Amendments Relating to the Provision of Primary Care Services During a Pandemic etc.) Regulations 2020 (S.I. 2020/351), regs. 1(2), 19Reg. 27A inserted (27.3.2020) by The National Health Service (Amendments Relating to the Provision of Primary Care Services During a Pandemic etc.) Regulations 2020 (S.I. 2020/351), regs. 1(2), 20Words in reg. 3 inserted (27.3.2020) by The National Health Service (Amendments Relating to the Provision of Primary Care Services During a Pandemic etc.) Regulations 2020 (S.I. 2020/351), regs. 1(2), 18(a)Words in reg. 3 inserted (27.3.2020) by The National Health Service (Amendments Relating to the Provision of Primary Care Services During a Pandemic etc.) Regulations 2020 (S.I. 2020/351), regs. 1(2), 18(b)Words in Sch. 2 para. 16B(1) inserted (27.3.2020) by The National Health Service (Amendments Relating to the Provision of Primary Care Services During a Pandemic etc.) Regulations 2020 (S.I. 2020/351), regs. 1(2), 21(a)Sch. 2 para. 16B(5) inserted (27.3.2020) by The National Health Service (Amendments Relating to the Provision of Primary Care Services During a Pandemic etc.) Regulations 2020 (S.I. 2020/351), regs. 1(2), 21(b)Reg. 53A heading substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 2(2)Reg. 63A inserted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 3Regs. 64ZA, 64ZB inserted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 4Regs. 66, 66A substituted for reg. 66 (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 5Words in reg. 3 inserted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 6(a)Word in reg. 3 substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 6(b)Words in reg. 21(1) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 7Words in reg. 53A(1) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 2(3)Reg. 53A(2) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 2(4)Words in reg. 64 heading inserted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 8(2)Reg. 64(5) omitted (1.4.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 8(3)Reg. 64(5A) omitted (1.4.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 8(3)Words in reg. 64(8) omitted (1.4.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 8(4)(a)Words in reg. 64(8) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 8(4)(b)Words in reg. 64(9) omitted (1.4.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 8(5)Words in reg. 64A inserted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 9Reg. 67F(3)(a) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 10(a)Words in reg. 67F(4) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 10(b)(i)Reg. 67F(4)(a)(b) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 10(b)(ii)Words in Sch. 2 para. 15(8) omitted (1.4.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 11(2)(a)(i)Words in Sch. 2 para. 15(8)(a) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 11(2)(a)(ii)Sch. 2 para. 15(9) omitted (1.4.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 11(2)(b)Words in Sch. 2 para. 44(c) substituted (1.4.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2020 (S.I. 2020/226), reg. 1(2), Sch. 2 para. 11(3)Words in Sch. 1 omitted (6.4.2020) by virtue of The Healthy Start Scheme and Welfare Food (Miscellaneous Amendments) Regulations 2020 (S.I. 2020/267), regs. 1(2), 30(a)Words in Sch. 1 omitted (6.4.2020) by virtue of The Healthy Start Scheme and Welfare Food (Miscellaneous Amendments) Regulations 2020 (S.I. 2020/267), regs. 1(2), 30(b)Reg. 67E heading substituted (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 3(a)Reg. 67H inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 4Sch. 2 para. 13 substituted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 6Sch. 2 para. 37 substituted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 11Sch. 2 para. 39A inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 12Words in Sch. 2 para. 16B heading inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 7(a)Words in Sch. 2 para. 16B(1) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 7(b)Words in Sch. 2 para. 16B(3)(a) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 7(c)Words in Sch. 2 para. 16B(3)(b) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 7(c)Words in Sch. 2 para. 16B(3)(c) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 7(c)Words in Sch. 2 para. 16B(3)(d) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 7(c)Words in Sch. 2 para. 16B(4) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 7(d)Words in reg. 3A(1) substituted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 2Words in reg. 67E(1) substituted (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 3(b)Words in Sch. 2 para. 10A(3) omitted (E.) (1.10.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 5Sch. 2 para. 23(4)(a) omitted (E.) (1.10.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 8Sch. 2 para. 24(1B) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 9(b)Words in Sch. 2 para. 24(1A) substituted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 9(a)Words in Sch. 2 para. 26(1) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 10Sch. 2 para. 43(4A) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 13(b)Words in Sch. 2 para. 43(4) substituted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 13(a)Word in Sch. 2 para. 58(4) omitted (E.) (1.10.2020) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 14(a)Words in Sch. 2 para. 58(4)(t) substituted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 14(b)Sch. 2 para. 58(4)(u) inserted (E.) (1.10.2020) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/911), reg. 1(2), Sch. 2 para. 14(c)Words in reg. 3 omitted (31.12.2020) by virtue of The European Qualifications (Health and Social Care Professions) (Amendment etc.) (EU Exit) Regulations 2019 (S.I. 2019/593), reg. 1(2), Sch. 1 para. 65 (with reg. 12A, Sch. 1 Pt. 2) (as amended by S.I. 2020/1394, regs. 4, 9); 2020 c. 1, Sch. 5 para. 1(1)Words in reg. 67F(4) inserted (31.12.2020) by S.I. 2019/776, reg. 9(c)(i) (as substituted by The Reciprocal and Cross-Border Healthcare (Amendment etc.) (EU Exit) Regulations 2020 (S.I. 2020/1348), regs. 1, 5)Words in reg. 67F(4) inserted (31.12.2020) by S.I. 2019/776, reg. 9(c)(ii) (as substituted by The Reciprocal and Cross-Border Healthcare (Amendment etc.) (EU Exit) Regulations 2020 (S.I. 2020/1348), regs. 1, 5)Reg. 67F(1)(b) substituted (31.12.2020) by S.I. 2019/776, reg. 9(a) (as substituted by The Reciprocal and Cross-Border Healthcare (Amendment etc.) (EU Exit) Regulations 2020 (S.I. 2020/1348), regs. 1, 5)Words in reg. 67F(2)(a) inserted (31.12.2020) by S.I. 2019/776, reg. 9(b)(i) (as substituted by The Reciprocal and Cross-Border Healthcare (Amendment etc.) (EU Exit) Regulations 2020 (S.I. 2020/1348), regs. 1, 5)Words in reg. 67F(2)(a) inserted (31.12.2020) by S.I. 2019/776, reg. 9(b)(ii) (as substituted by The Reciprocal and Cross-Border Healthcare (Amendment etc.) (EU Exit) Regulations 2020 (S.I. 2020/1348), regs. 1, 5)Reg. 60A inserted (1.1.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2020 (S.I. 2020/1415), regs. 1(2), 3(2)Words in reg. 61(2) inserted (1.1.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2020 (S.I. 2020/1415), regs. 1(2), 3(3)Pt. 10A inserted (1.4.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2021 (S.I. 2021/331), reg. 1(2), Sch. 2 para. 1Words in reg. 3 inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 2(a)Words in reg. 3 inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 2(b)Words in reg. 3 substituted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 2(c)Words in reg. 3 inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 6Words in reg. 60A(2) inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 4(a)Words in reg. 60A(3) inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 4(b)Words in reg. 60A(7) omitted (1.10.2021) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 4(c)Words in reg. 53A(1) substituted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 5Words in reg. 61(2) inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 7Regs. 64ZC-64ZG inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 8Reg. 67I inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 9Reg. 62A inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 13Reg. 15A inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 12Regs. 21A, 21B inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 1Sch. 2 Pt. 2A inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 3(e)Words in reg. 64(8) inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 10Reg. 66(5A)(5B) inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 11Words in Sch. 2 para. 13(1) substituted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 3(a)Sch. 2 para. 17(7) inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 3(b)Sch. 2 para. 19(5) inserted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 3(c)Words in Sch. 2 para. 21 substituted (1.10.2021) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2021 (S.I. 2021/995), reg. 1(2), Sch. 2 para. 3(d)Words in reg. 49(3) substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 22(2)(a)Words in reg. 49(3) substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 22(2)(b)Words in reg. 49(3) inserted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 22(2)(c)Words in reg. 49(4) substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 22(3)(a)Words in reg. 49(4) substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 22(3)(b)Words in reg. 49(4) inserted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 22(3)(c)Words in reg. 3 omitted (21.12.2021) by virtue of The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 20(2)(a)Words in reg. 3 inserted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 20(2)(b)Words in reg. 48(1)(c) substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 21(2)Words in reg. 54 substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 23(2)Words in reg. 54(3)(c)(ii) substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 23(3)Words in reg. 55(2)(c)(iii)(bb) substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 24(2)(a)Word in reg. 55(2)(c)(iii)(bb) substituted (21.12.2021) by The National Health Service (Charges, Primary Medical Services and Pharmaceutical and Local Pharmaceutical Services) (Coronavirus) (Further Amendments) Regulations 2021 (S.I. 2021/1346), regs. 1(2)(a), 24(2)(b)Reg. 21A(3)(c)(ii) omitted (27.4.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2022 (S.I. 2022/404), regs. 1(2), 3(2)(a)(iii)Words in reg. 21A(5) omitted (27.4.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2022 (S.I. 2022/404), regs. 1(2), 3(2)(c)Words in reg. 4(2) inserted (1.7.2022) by The Health and Care Act 2022 (Consequential and Related Amendments and Transitional Provisions) Regulations 2022 (S.I. 2022/634), regs. 1(2), 217(2)Words in Regulations substituted (1.7.2022) by The Health and Care Act 2022 (Consequential and Related Amendments and Transitional Provisions) Regulations 2022 (S.I. 2022/634), reg. 1(2), Sch. para. 1(1)(3) (with Sch. para. 1(2))Words in reg. 3 omitted (1.7.2022) by virtue of The Health and Care Act 2022 (Consequential and Related Amendments and Transitional Provisions) Regulations 2022 (S.I. 2022/634), regs. 1(2), 87(2)(a)Words in reg. 3 inserted (1.7.2022) by The Health and Care Act 2022 (Consequential and Related Amendments and Transitional Provisions) Regulations 2022 (S.I. 2022/634), regs. 1(2), 87(2)(b)Reg. 14 omitted (1.7.2022) by virtue of The Health and Care Act 2022 (Consequential and Related Amendments and Transitional Provisions) Regulations 2022 (S.I. 2022/634), regs. 1(2), 87(3)Reg. 60(6) omitted (11.7.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/687), regs. 1(2), 3(4)Reg. 15A(2A) inserted (11.7.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/687), regs. 1(2), 3(2)(b)Words in reg. 15A(1) inserted (11.7.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/687), regs. 1(2), 3(2)(a)Words in reg. 15A(5) inserted (11.7.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/687), regs. 1(2), 3(2)(c)Reg. 19(m) inserted (11.7.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/687), regs. 1(2), 3(3)(b)Word in reg. 19(k) omitted (11.7.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/687), regs. 1(2), 3(3)(a)Reg. 13A inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 3Reg. 21AA inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 10Reg. 64B inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 15Words in reg. 21A(3)(b) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(1)(i)Reg. 21A(3)(ba) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(1)(iii)Reg. 21A(4) substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(2)Word in reg. 21A(3)(b)(i) substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(1)(ii)Reg. 21A(3)(c)(i) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(1)(iv)Words in reg. 21A(8)(b) substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(3)Word in reg. 21A(9)(a) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(4)Reg. 21A(9)(c) and word inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(6)Word in reg. 21A(9)(b)(i) inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 9(5)Words in reg. 21B heading substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(1)Reg. 21B(4A) inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(5)Words in reg. 21B(1) substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(2)Word in reg. 21B(3)(b)(ii) inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(3)(a)Reg. 21B(3)(ba) inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(3)(b)Word in reg. 21B(4)(a) inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(4)(i)Word in reg. 21B(4)(b) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(4)(ii)Reg. 21B(4)(c) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(4)(iii)Word in reg. 21B(5) substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 11(6)Words in reg. 3 inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 1Words in reg. 3 inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 8Words in reg. 3 inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 13Word in reg. 13(3) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 2(a)Reg. 13(3)(c) and word inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 2(b)Word in reg. 49(10)(a) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 12Reg. 60(4)(a) substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 4(1)Words in reg. 60(4)(b) substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 4(2)Words in reg. 63(3) inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 5Words in reg. 64(3)(a) substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 14Reg. 64ZG(2) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 6Words in reg. 67C Table omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 17(a)Word in reg. 67C Table omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 17(b)Words in reg. 67C table omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 17(c)Word in Sch. 2 para. 10(2)(c)(i) omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 7(2)Word in Sch. 2 para. 16A omitted (1.10.2022) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 7(3)Words in Sch. 2 para. 43(3) inserted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 7(4)Words in Sch. 2 para. 44 substituted (1.10.2022) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 3) Regulations 2022 (S.I. 2022/935), reg. 1(b), Sch. 2 para. 7(5)Words in reg. 21A(3)(a) substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(3) (with reg. 3)Words in reg. 51(1) substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(4) (with reg. 3)Words in reg. 67B(3) substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(5) (with reg. 3)Words in reg. 67C substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(6) (with reg. 3)Words in reg. 67D(1) substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(7) (with reg. 3)Words in reg. 67E heading substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(8)(a) (with reg. 3)Words in reg. 67E substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(8)(b) (with reg. 3)Words in reg. 67F(3) substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(9) (with reg. 3)Words in reg. 67H(1) inserted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(10)(a) (with reg. 3)Words in reg. 67H(3) substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(10)(b) (with reg. 3)Words in reg. 3 substituted (1.2.2023) by The Health and Social Care Information Centre (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/98), reg. 1(2), Sch. para. 53(2) (with reg. 3)Reg. 48A inserted (1.4.2023) by The National Health Service (Amendments Relating to Pre-Payment Certificates, Hormone Replacement Therapy Treatments and Medicines Shortages) Regulations 2023 (S.I. 2023/171), regs. 1(1), 15Words in reg. 3(1) inserted (1.4.2023) by The National Health Service (Amendments Relating to Pre-Payment Certificates, Hormone Replacement Therapy Treatments and Medicines Shortages) Regulations 2023 (S.I. 2023/171), regs. 1(1), 14Reg. 49(5A)(5B) inserted (1.4.2023) by The National Health Service (Amendments Relating to Pre-Payment Certificates, Hormone Replacement Therapy Treatments and Medicines Shortages) Regulations 2023 (S.I. 2023/171), regs. 1(1), 16Words in reg. 82 substituted (1.4.2023) by The Health Education England (Transfer of Functions, Abolition and Transitional Provisions) Regulations 2023 (S.I. 2023/368), reg. 1(2), Sch. 2 para. 21 (with reg. 7)Words in reg. 3 omitted (15.5.2023) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 1 Reg. 64ZB(1A)(1B) inserted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 6(3) Words in reg. 64ZB(1)(a) omitted (15.5.2023) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 6(2) Words in reg. 64ZB(2)(a) substituted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 6(4) Reg. 21AA(10) renumbered in part as reg. 21AA(10)(a)(b) (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 3(2) Reg. 21AA(11)(a) renumbered in part as reg. 21AA(11)(a)(i)(ii) (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 3(3)(a) Words in reg. 21AA(11)(b) inserted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 3(3)(b) Reg. 21AA(12) substituted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 3(4) Words in reg. 64ZD(3)(a) inserted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 7(a) Words in reg. 64ZD(3)(b) inserted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 7(b) Reg. 59B(2)(e) inserted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 4 Words in reg. 64A(1) substituted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2), Sch. 2 para. 8 Sch. 2 para. 5 substituted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2)(b), Sch. 2 para. 10Words in Sch. 2A para. 3(7) inserted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2)(b), Sch. 2 para. 11Reg. 64ZA substituted (15.5.2023) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) (No. 2) Regulations 2023 (S.I. 2023/449), reg. 1(2)(b), Sch. 2 para. 5Words in Regulations substituted (6.11.2023) by The Health and Care Act 2022 (Further Consequential Amendments) (No. 2) Regulations 2023 (S.I. 2023/1071), reg. 1(1), Sch. para. 1Words in reg. 3 omitted (6.11.2023) by virtue of The Health and Care Act 2022 (Further Consequential Amendments) (No. 2) Regulations 2023 (S.I. 2023/1071), regs. 1(1), 85(2)(a)Words in reg. 3 inserted (6.11.2023) by The Health and Care Act 2022 (Further Consequential Amendments) (No. 2) Regulations 2023 (S.I. 2023/1071), regs. 1(1), 85(2)(b)Sch. 2 para. 10B and cross-heading inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 9Words in reg. 3 inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 1(1)Reg. 33 substituted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 2(1)Reg. 37(1) substituted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 2(2)(a)Reg. 37(3) omitted (27.5.2024) by virtue of The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 2(2)(b)Reg. 59C heading substituted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 3(a)Reg. 59C(1A) inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 3(b)Words in reg. 59C(2) inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 3(c)(i)Words in reg. 59C(2) substituted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 3(c)(ii)Words in reg. 59C(2) inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 3(c)(iii)(aa)Words in reg. 59C(2) inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 3(c)(iii)(bb)Words in reg. 60(4)(c) substituted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 4Reg. 67E(2) substituted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 5(a)Reg. 67E(3) omitted (27.5.2024) by virtue of The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 5(b)Words in reg. 70(1) inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 1(2)(a)Words in reg. 70(3) inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 1(2)(b)Words in reg. 77(3)(b) substituted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 6Words in Sch. 2 para. 5(2)(a) omitted (27.5.2024) by virtue of The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 8(a)Words in Sch. 2 para. 5(4)(a) substituted (27.5.2024) by virtue of The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 8(b)(i)Sch. 2 para. 5(4)(c) inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 8(b)(iii)Word in Sch. 2 para. 5(4)(b) inserted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 8(b)(ii)Words in Sch. 2 para. 44(g) substituted (27.5.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(a), Sch. 2 para. 1(3)Words in Sch. 2 para. 3(1) inserted (1.10.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(b), Sch. 2 para. 7(a)(i)Sch. 2 para. 3(3)(4) inserted (1.10.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(b), Sch. 2 para. 7(a)(ii)Sch. 2 para. 3A omitted (1.10.2024) by virtue of The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(b), Sch. 2 para. 7(b)Sch. 2 para. 17(3)(3A) substituted for Sch. 2 para. 17(3) (31.10.2024) by The National Health Service (Primary Medical Services and Performers Lists) (Amendment) Regulations 2024 (S.I. 2024/575), reg. 1(2)(c), Sch. 2 para. 10Reg. 67J inserted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 5Words in reg. 25(1) inserted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 1Word in reg. 66(5A)(a) omitted (21.7.2025) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 4(a)Word in reg. 66(5A)(b) inserted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 4(b)Reg. 66(5A)(c) inserted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 4(c)Words in Sch. 2 para. 10(1)(a) substituted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 7Words in Sch. 2 para. 17(1) substituted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 2(a)Sch. 2 para. 17(1A)-(1C) inserted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 2(b)Words in Sch. 2 para. 24(1A)(b) substituted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 10(a)Words in Sch. 2 para. 24(1B)(a) omitted (21.7.2025) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 10(b)Sch. 2 para. 24(2B) inserted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 10(c)Word in Sch. 2 para. 27(a) substituted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 11Words in Sch. 2 para. 43(4A) substituted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 8Words in reg. 3 inserted (21.7.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(a), Sch. 2 para. 9Reg. 61A inserted (1.10.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(b), Sch. 2 para. 3Sch. 2 para. 5(1)(1A) substituted for Sch. 2 para. 5(1) (1.10.2025) by The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(b), Sch. 2 para. 6(a)Words in Sch. 2 para. 5(3)(a) omitted (1.10.2025) by virtue of The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025 (S.I. 2025/727), reg. 1(2)(b), Sch. 2 para. 6(b)