Source: http://www.legislation.gov.uk/ukpga/1997/46/part/II
Timestamp: 2020-06-02 08:50:33
Document Index: 661850028

Matched Legal Cases: ['art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 2', 'art. 3', 'art. 1', 'art. 4', 'art. 1', 'art. 2', 'art. 6', 'art. 8', 'art. 5', 'art. 2', 'art. 11', 'art. 7', 'art. 6', 'art. 8', 'art. 5', 'art. 2', 'art. 6', 'art. 8', 'art. 5', 'art. 2']

15/08/1997- Amendment
10/12/1998- Amendment
05/03/2001- Amendment
30/09/2005- Amendment
There are currently no known outstanding effects for the National Health Service (Primary Care) Act 1997, Part II.
Part IIU.K. Primary Care
Personal medical or dental servicesU.K.
21 Provision of personal medical or dental services.U.K.
(2)In the 1978 Act, after section 17B, insert—
“ Provision of personal medical or dental servicesU.K.
17C Personal medical or dental services.
(1)A Health Board may make one or more agreements with respect to their area, in accordance with the provisions of regulations under section 17E, under which—
(2)An agreement made under this section—
(b)may include arrangements for the provision of services—
(3)Except to such extent as may be prescribed—
(a)a patient for whom personal medical services are provided in accordance with an agreement made under this section is not to count as a person for whom arrangements must be made by the Health Board concerned under section 19;
(b)a patient for whom personal dental services are provided under an agreement made under this section is not to count as a person for whom arrangements must be made by the Health Board concerned under section 25.
(4)This Act (and in particular section 2) has effect, in relation to personal medical services or personal dental services provided under an agreement made under this section, as if those services were provided as a result of the delegation by the Secretary of State (by directions given under section 2) of functions of his under this Part.
(a)for functions which are exercisable by a Health Board in relation to an agreement made under this section to be exercisable on behalf of the Board by a Health Authority; and
(b)for functions which are exercisable by a Health Authority in relation to an agreement made under section 28C of the M1National Health Service Act 1977 to be exercisable on behalf of the Authority by a Health Board.
“personal medical services” means medical services of a kind that may be provided by a general medical practitioner in accordance with arrangements made under Part II; and
“personal dental services” means dental services of a kind that may be provided by a general dental practitioner in accordance with arrangements made under Part II.
17D Persons with whom agreements may be made.
(1)A Health Board may make an agreement under section 17C only with one or more of the following—
(a)an NHS trust;
(ii)an individual who is providing personal medical services in accordance with section 17C arrangements or section 28C arrangements;
(ii)an individual who is providing personal dental services in accordance with section 17C arrangements or section 28C arrangements;
(d)an NHS employee, a section 17C employee or a section 28C employee;
“the 1977 Act” means the M2National Health Service Act 1977;
“NHS employee” means an individual who, in connection with the provision of services in the health service in Scotland or England and Wales, is employed by—
a medical practitioner whose name is included in a medical list kept under this Act or in a corresponding list kept under the 1977 Act; or
a medical practitioner who is providing personal medical services in accordance with section 17C arrangements or section 28C arrangements;
a dental practitioner whose name is included in a list prepared in accordance with regulations made under section 25(2)(a) of this Act or section 36(1)(a) of the 1977 Act; or
a dental practitioner who is providing personal dental services in accordance with section 17C arrangements or section 28C arrangements;
a company which is limited by shares all of which are legally and beneficially owned by persons falling within paragraphs (a) to (d) of subsection (1); and also
in the case of an agreement under which personal dental services are provided, a body corporate which, in accordance with the provisions of Part IV of the M3Dentists Act 1984, is entitled to carry on the business of dentistry;
“qualifying dental practitioner” means a dental practitioner who satisfies the conditions imposed by regulations made under section 17E(2)(b) of this Act or section 28E(2)(b) of the 1977 Act;
“qualifying medical practitioner” means a medical practitioner who satisfies the conditions imposed by regulations made under section 17E(2)(b) of this Act or section 28E(2)(b) of the 1977 Act;
“section 17C employee” means an individual who, in connection with the provision of services in accordance with section 17C arrangements, is employed by an individual providing those services;
“section 28C arrangements” means arrangements for the provision of services made under section 28C of the 1977 Act; and
“section 28C employee” means an individual who, in connection with the provision of services in accordance with section 28C arrangements, is employed by an individual providing those services.”
(3)The Secretary of State may not make an order under section 41(3) bringing this section into force unless he is satisfied, having regard in particular to reviews of pilot schemes which have been conducted under section 7, that it would be in the interests of any part of the health service to bring this section into force.
F1S. 21(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)
I1S. 21 partly in force; s. 21 not in force at Royal Assent see s. 41; S. 21(2)(3) in force for certain purposes at 5.3.2001 (S.) by S.S.I. 2001/58, art. 2; S. 21 in force (W.) at 1.7.2002 by S.I. 2002/1475, art. 2(1), Sch. Pt. 1
I2S. 21(1)(3) in force at 1.3.2004 for specified purposes for E. by S.I. 2004/287, art. 2(1)
I3S. 21(1)(3) in force at 1.4.2004 for specified purposes for E. by S.I. 2004/287, art. 2(2)(a)
I4S. 21(1)(3) in force at 1.12.2005 for E. in so far as not already in force by S.I. 2005/2926, art. 2(a)
I5S. 21(1)(3) in force at 1.12.2005 for specified purposes for W. by S.I. 2005/2926, art. 3(a)
I6S. 21(1)(3) in force at 1.3.2007 for E.W., in so far as not already in force, immediately before the National Health Service Act 2006 comes into force by S.I. 2006/1407, art. 1(1), Sch. 1 para. 3 (with art. 4)
M31984 c. 24.
22 Supplementary regulations.U.K.
(2)In the 1978 Act, after section 17D, insert—
“17E Personal medical or dental services: regulations.
(1)The Secretary of State may make regulations with respect to the provision of services in accordance with section 17C arrangements.
(a)include provision for participants other than Health Boards to withdraw from section 17C arrangements if they wish to do so;
(b)impose conditions (including conditions as to qualifications and experience) to be satisfied by medical practitioners performing personal medical services, and dental practitioners performing personal dental services, in accordance with section 17C arrangements.
In paragraph (b) “practitioner” does not include a practitioner who is undergoing training of a prescribed description.
(a)provide that section 17C arrangements may be made only in prescribed circumstances;
(b)provide that section 17C arrangements may be made only in prescribed areas;
(c)provide that only prescribed services, or prescribed categories of service, may be provided in accordance with section 17C arrangements;
(d)require details of section 17C arrangements to be published;
(e)make provision with respect to the variation and termination of section 17C arrangements;
(f)prevent (except in such circumstances and to such extent as may be prescribed) a medical practitioner who performs personal medical services in accordance with section 17C arrangements from providing general medical services;
(h)provide for parties to section 17C arrangements to be treated, in such circumstances and to such extent as may be prescribed, as health service bodies for the purposes of section 17A;
(i)provide for directions, as to payments, made under section 17A(8) (as it has effect as a result of regulations made by virtue of paragraph (h)) to be enforceable in like manner as extract registered decrees arbitral bearing warrant for execution issued by the sheriff court of any sheriffdom in Scotland;
(j)confer powers or impose duties on the Dental Practice Board in relation to agreements made by virtue of section 17C(1) under which personal dental services are provided;
(k)authorise [Strategic Health Authorities and] Health Boards to make payments of financial assistance for prescribed categories of preparatory work undertaken—
(i)in connection with preparing proposals for section 17C arrangements; or
(ii)in preparation for the provision of services under proposed section 17C arrangements.
(4)The regulations must include provision for a medical practitioner who—
(a)has provided or performed personal medical services in accordance with section 17C arrangements, and
to be allowed to return immediately to fund-holding status on satisfying the Secretary of State that, if he were granted that status, he would be able to fulfil the conditions for the time being in force for continuing to have it.
For the purposes of this subsection “fund-holding status” has such meaning as may be prescribed.
(a)consider whether section 17C arrangements are likely to have an adverse effect on the distribution of medical practitioners providing general medical services or performing personal medical services in Scotland;
(b)if he thinks that the arrangements are likely to have that effect, consider whether it is necessary to include in the regulations provisions designed to secure that, so far as is possible, the arrangements do not have that effect; and
(c)if he thinks that it is necessary, include such provisions in the regulations.
(7)Regulations made by virtue of subsection (3)(g) may, in particular, include provision—
(a)requiring (except in prescribed circumstances) Health Boards to remove from their medical lists persons who are performing personal medical services in accordance with section 17C arrangements or corresponding services under section 28C of the M4National Health Service Act 1977;
(b)conferring a right to transfer to a medical list on persons who have ceased to perform such services;
(c)that any provision in relation to medical lists made by or under any enactment is not to apply;
(e)conferring powers of disqualification on the Tribunal constituted under section 29.
(8)The power to make provision under this section of the kind mentioned in subsection (3)(j) includes power—
(a)to authorise or require the Dental Practice Board to perform on behalf of a Health Board functions of a prescribed description (including functions relating to remuneration) which have been delegated to the Dental Practice Board by the Health Board in accordance with a power conferred by the regulations;
(b)to provide that functions conferred by the regulations are only to be exercised by the Dental Practice Board in accordance with directions of the Secretary of State;
(c)to require information for the purpose of performing any functions conferred or imposed on the Dental Practice Board under this section.
(9)In this Act “section 17C arrangements” means arrangements for the provision of services made under section 17C.”
F2S. 22(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)
F3S. 22(2): s. 17E(6) to be inserted into the 1978 Act omitted (30.9.2005 as notified in the London Gazette dated 26.8.2005) by virtue of The General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 (S.I. 2003/1250), art. 1(2)(3), Sch. 9 para. 6(c)(ii)
I7S. 22 partly in force; s. 22 not in force at Royal Assent see s. 41; s. 22(2) in force for certain purposes at 5.3.2001 (S.) by S.S.I. 2001/58, art. 2
23 Right to choose medical practitioner.E+W+S
F4S. 23(1) repealed (E.W) (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 14 Pt. 4 Note; S.I. 2004/288, art. 6(2)(p) (with art. 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); S.I. 2004/480, art. 5(2)(p) (with arts. 6, 7) (as amended by S.I. 2004/1019 and S.I. 2006/345)
F5S. 23(2) repealed (S.) (1.4.2004) by Primary Medical Services (Scotland) Act 2004 (asp 1), s. 9(1), sch. para. 2(6); S.S.I. 2004/58, art. 2(3)
24 Right to choose dental practitioner.E+W+S
(2)In the 1978 Act, after section 17F, insert—
“17G Right to choose dental practitioner.
(1)Provision shall be made in regulations for conferring a right on any person to choose the dental practitioner from whom he is to receive primary dental services, subject to the consent of the practitioner concerned.
(4)In this section “primary dental services” means dental services which are—
(a)provided, in accordance with section 17C arrangements, as personal dental services; or
(b)provided under Part II as general dental services.”
F6S. 24(1) repealed (1.4.2006 for E., 1.4.2006 for W. for specified purposes) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 14 Pt. 4 Note; S.I. 2005/2925, art. 11; S.I. 2006/345, art. 7(2)(i)
25 Liabilities and obligations in relation to deputies.U.K.
(2)In the 1978 Act, after section 24, insert—
“24A Liabilities and obligations in relation to deputies.
(1)Regulations may make provision with respect to the liabilities and obligations of—
(a)a Part II practitioner who, in connection with any obligation of his to provide general medical services, enters into arrangements under which a Part I practitioner deputises, or is engaged to deputise, for him; or
(b)a Part II practitioner who enters into arrangements under which he deputises, or is engaged to deputise, for a Part I practitioner, in connection with that practitioner’s obligation to perform personal medical services in accordance with section 17C arrangements.
(b)apply (with or without modifications) any provision made by or under this Part (including any provision so made by virtue of section 17 of the M5Health and Medicines Act 1988).
“Part I practitioner” means a medical practitioner who performs personal medical services in accordance with section 17C arrangements; and
“Part II practitioner” means a medical practitioner who provides general medical services.”
F7S. 25(1) repealed (E.W) (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 14 Pt. 4 Note; S.I. 2004/288, art. 6(2)(p) (with art. 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); S.I. 2004/480, art. 5(2)(p) (with arts. 6, 7) (as amended by S.I. 2004/1019 and S.I. 2006/345)
I8S. 25 partly in force; s. 25 not in force at Royal Assent see s. 41; s. 25(2) in force for certain puposes at 5.3.2001 (S.) by S.S.I. 2001/58, art. 2
M51988 c. 49.
26 Charges for dental treatment.U.K.
(2)In the 1978 Act, after section 70, insert—
“70A Charges for dental treatment under section 17C.
(1)Regulations may provide for the making and recovery, in such manner as may be prescribed, of charges for dental treatment provided in accordance with section 17C arrangements.
(2)“Dental treatment” means personal dental services other than those to which section 70(1A) applies.
(3)The regulations must secure that the amount charged for a particular treatment (or course of treatment) is the same as the amount that would be charged for that treatment (or course of treatment) if it were provided under Part II.
(5)If, under a contract or arrangement, a patient receives—
(a)services for which a charge is payable under section 70, and
(6)No charge is to be made under the regulations in respect of treatment provided for any person who, at the time of the making of the contract or arrangement under which the treatment is provided—
(7)In subsection (6)(b) “qualifying full-time education” has the same meaning as in Schedule 11.
(8)The regulations may provide, with respect to any exemption under subsection (6), that it is to be a condition of the exemption that—
(b)a certificate of the prescribed kind is supplied in the prescribed form or manner.”
F8S. 26(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)
Pharmaceutical servicesU.K.
27 Provision of additional pharmaceutical services.E+W+S
(2)In the 1978 Act, after section 27, insert—
“27A Arrangements for providing additional pharmaceutical services.
(a)give directions to a Health Board requiring them to arrange for the provision to persons in their area of additional pharmaceutical services; or
(b)by giving directions to a Health Board authorise them to arrange for such provision if they wish to do so.
“additional pharmaceutical services”, in relation to directions, means such services (of a kind that do not fall within section 27) as may be specified in the directions; and
“Drug Tariff” means the Drug Tariff published under regulation 9 of the M6National Health Service (Pharmaceutical Services) (Scotland) Regulations 1995 or under any corresponding provision replacing, or otherwise derived from, that regulation.”
F9S. 27(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)
M6S.I. 1995/414.
28 Terms and conditions etc.E+W+S
(2)In the 1978 Act, after section 27A, insert—
“27B Terms and conditions etc.
(1)Directions under section 27A may require the Health Board to whom they apply, when making arrangements—
(4)A Health Board must provide details of proposed arrangements (including the remuneration to be offered for the provision of services) to any person who asks for them.
(5)After making any arrangements, a Health Board must publish, in such manner as the Secretary of State may direct, such details of the arrangements as he may direct.
(a)published by the Health Board concerned, or by any other Health Board, in accordance with regulations made under section 27(2) of this Act; or
(b)published by any body in accordance with regulations made under section 42(2) of the M7National Health Service Act 1977 or Article 63(2A)(a) of the M8Health and Personal Social Services (Northern Ireland) Order 1972.”
F10S. 28(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)
M8S.I. 1972/1265 (N.I.14).
29 Authorised provision of pharmaceutical services by medical practitioners.E+W+S
(2)In section 28 of the 1978 Act, after subsection (2), insert—
“(2A)Regulations shall provide for the preparation and publication by a Health Board of one or more lists of medical practitioners who undertake to supply drugs and appliances in the Board’s area.
(2B)The regulations shall include provision for the removal of an entry from a list in prescribed circumstances.”
F11S. 29(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)
Ophthalmic servicesU.K.
30 Duty of registered opticians to refer certain persons to registered medical practitioners.E+W+S
(1)Section 31 of the M9Opticians Act 1989 (matters with respect to which the General Optical Council may make rules) is amended as follows.
(2)In subsection (5) (power to make rules requiring registered optician to refer persons to registered medical practitioners except in certain circumstances), for the words from “except” to “take the prescribed steps” substitute “except—
(a)in an emergency,
(b)where that person is consulting him for the purpose of being given treatment in accordance with rules under subsection (l)(d) above, or
(c)in such other cases as may be prescribed,
take the prescribed steps ”.
“(5A)Rules made by virtue of subsection (5)(c) may impose conditions which must be satisfied if the exception for which those rules provide is to apply.”
M91989 c. 44.
NHS contractsE+W+S
31 Provision of certain services under NHS contracts.E+W+S
(2)In the 1978 Act, after section 17, insert—
“ NHS contractsE+W+S
17AA Provision of certain services under NHS contracts.
(1)This section applies to any arrangement under which a Health Board or such other health service body as may be prescribed arrange for the provision to them—
of goods or services that they reasonably require for the purposes of functions which they are exercising under Part I of this Act.
(2)Any such arrangement is to be treated as an NHS contract for the purposes of section 17A (other than subsections (5) and (7)).
“health service body” means a person or body which is a health service body for the purposes of section 17A;
section 26(2)(a) of this Act;
section 39(a) of the M10National Health Service Act 1977; or
Article 62(2)(a) of the M11Health and Personal Social Services (Northern Ireland) Order 1972; and
section 27(2) of this Act;
Article 63(2A)(a) of the 1972 Order.”
F12S. 31(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)
M101977 c. 49.
M11S.I. 1972/1265 (N.I.14).
Medical lists and vacanciesU.K.
F1332 Medical lists and vacancies: England and Wales.E+W+S
F13S. 32 repealed (E.W.) (1.4.2004) by Health and Social Care (Community Health and Standards) Act 2003 (c. 43), s. 199(1)(4), Sch. 14 Pt. 4 Note; S.I. 2004/288, art. 6(2)(p) (with art. 8) (as amended by S.I. 2004/866 and S.I. 2005/2925); S.I. 2004/480, art. 5(2)(p) (with arts. 6, 7) (as amended by S.I. 2004/1019 and S.I. 2006/345)
F1433 Medical lists and vacancies: Scotland.U.K.
[F14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .]
F14S. 33 repealed (S.) (1.4.2004) by Primary Medical Services (Scotland) Act 2004 (asp 1), s. 9(1), sch. para. 2(7); S.S.I. 2004/58, art. 2(3)
Medical practicesU.K.
34 Sale of medical practices.E+W+S
(2)In the 1978 Act, for section 35 (sale of medical practices), substitute—
“35 Sale of medical practices.
(1)It is unlawful to sell the goodwill of the medical practice of a person who has at any time—
(a)provided general medical services under arrangements made with any Executive Council or Health Board under the M12National Health Service (Scotland) Act 1947, the M13National Health Service (Scotland) Act 1972 or this Act, or
(b)provided or performed personal medical services in accordance with section 17C arrangements,
unless that person no longer provides or performs such services and has never carried on the practice in a relevant area.
“goodwill” includes any part of goodwill and, in relation to a person practising in partnership, means his share of the goodwill of the partnership practice;
“medical practice” includes any part of a medical practice; and
“relevant area”, in relation to any Executive Council or Health Board by arrangement with whom a person has at any time—
provided general medical services, or
provided or performed personal medical services in accordance with section 17C arrangements,
means the area of that Council or Board (at that time).
(3)Schedule 9 supplements the provisions of this section.”
F15S. 34(1) repealed (1.3.2007) by National Health Service (Consequential Provisions) Act 2006 (c. 43), s. 8(2), Sch. 4 (with Sch. 2 Pt. 1 Sch. 3 Pt. 1)
M121947 c. 27.
M131972 c. 58.
35 Employment of pre-registration house officers in medical practices.E+W+S
(1)The M14Medical Act 1983 is amended as follows.
(2)In subsection (2) of section 10 (experience required for full registration as a medical practitioner), for “approved hospitals or approved institutions,” substitute “—
(a)approved hospitals,
(b)approved institutions, or
(c)approved medical practices,”.
(3)In subsection (3) of section 11 (construction of section 10, etc), after the first “where” insert “—
(a)in the case of an approved hospital or an approved institution,”, and at the end insert
(b)in the case of an approved medical practice, the person employed satisfies such conditions as to residence as may be prescribed”.
(4)In subsection (4) of section 11—
(a)insert in the appropriate place—
““medical practice” means a prescribed description of practice in which one or more medical practitioners—
(a)provide general medical services under Part II of the M15National Health Service Act 1977, Part II of the M16National Health Service (Scotland) Act 1978 or Part VI of the M17Health and Personal Social Services (Northern Ireland) Order 1972; or
(b)perform personal medical services in accordance with arrangements made under section 28C of the 1977 Act, section 17C of the 1978 Act or the corresponding provisions of the law in force in Northern Ireland;”;
(b)in the definition of “prescribed”, after “means” insert “—
(a)in subsection (3)(b) and in the definition of “medical practice”, prescribed by regulations made by the Secretary of State; and
(b)in the other provisions of this Part,”.
(5)After subsection (4) of section 11 insert—
“(4A)The Education Committee may by regulations provide that the period of employment in a medical practice which may be reckoned towards the completion of any of the periods mentioned in section 10(3)(a) above shall not exceed such period as may be specified in the regulations.”
(6)In subsection (5) of section 11, after “under subsection (2) of section 10 above” insert “ or under subsection (4A) of this section ”.
(7)After subsection (6) of section 11 insert—
“(7)Regulations made by the Secretary of State under this section must be made by statutory instrument; and such a statutory instrument shall be subject to annulment in pursuance of a resolution of either House of Parliament.”
M141983 c. 54.
M17S.I. 1972/1265 (N.I.14).