NATIONAL HEALTH SERVICE, ENGLAND Citation, commencement, application and interpretation 1 1 These Regulations may be cited as the Commission for Patient and Public Involvement in Health (Membership and Procedure) Regulations 2002 and shall come into force on 1st January 2003. 2 These Regulations apply to England only. 3 In these Regulations— “ the Act ” means the National Health Service Reform and Health Care Professions Act 2002; “the 1977 Act ” means the National Health Service Act 1977 ; “chairman” means, unless the context otherwise requires, the chairman of the Commission; “the health service” has the same meaning as in the 1977 Act, except that it includes services provided in pursuance of arrangements made in accordance with the NHS Bodies and Local Authorities Partnership Arrangements Regulations 2000 in relation to the exercise of health-related functions of a local authority; “health service body” means— a Strategic Health Authority, Special Health Authority, Primary Care Trust or NHS Trust; a Health Board or Special Health Board constituted under section 2 of the National Health Service (Scotland) Act 1978 ; or the Scottish Dental Practice Board, the Common Services Agency for the Scottish Health Service or an NHS trust respectively constituted under sections 4, 10 and 12A of that Act; the Dental Practice Board constituted under section 37(1) of the 1977 Act; “member” in relation to the Commission includes the chairman except where the context otherwise requires; “primary care list” means a list either of persons undertaking to provide general medical services, general dental services, general ophthalmic services or, as the case may be, pharmaceutical services prepared pursuant to regulations made under section 29, 36, 39, 42 or 43 of the 1977 Act or a list of persons approved for the purpose of assisting in the provision of any such services prepared pursuant to regulations made under section 43D of the 1977 Act . Number of members 2 1 The Commission shall have a maximum of ten members, excluding the chairman. 2 Subject to regulation 5, those ten members may include a maximum of three persons who are also employees, officers or members of a health service body. Appointment of members 3 1 The members shall be appointed by the Secretary of State . 2 Subject to paragraph (3) and regulation 7 (termination of tenure of office) a member’s term of office shall be for such period, not exceeding four years, as the Secretary of State shall specify on making the appointment. 3 The term of office of a member appointed on establishment of the Commission shall be for such period, not exceeding three years, as the Secretary of State shall specify on making the appointments. Appointment of deputy-chairman 4 1 Subject to paragraph (2), the members may appoint one of their number (but not the chairman) to be deputy-chairman for such period, not exceeding the remainder of his term as a member, as they may specify on making the appointment. 2 Any member so appointed may at any time resign from the office of deputy-chairman by giving notice in writing to the chairman. 3 For the purposes of the circumstances where the chairman has died or has ceased to hold office, or where he is unable to perform his functions, references to the chairman in the Schedule to these Regulations shall, so long as there is no chairman available, be taken to include references to the deputy-chairman. Disqualification for appointment 5 1 Subject to regulation 6 (cessation of disqualification) a person shall be disqualified for appointment as a member if— a he has within the preceding five years been convicted in the United Kingdom of any offence, or convicted elsewhere for an offence which, if committed in any part of the United Kingdom would constitute a criminal offence in that part, and in either case has had passed on him a sentence of imprisonment (whether suspended or not) for a period of not less than three months without the option of a fine, and which has not been quashed on appeal; b he has i been adjudged bankrupt or had a sequestration of his estate awarded; or ii made a composition or arrangement with, or granted a trust deed for, his creditors; c he has been dismissed, otherwise than by reason of redundancy, from any paid employment with a health service body or a body specified in paragraph (4); d he is a person whose tenure of office as the chairman or as a member or director of a health service body or a body specified in paragraph (4) has been terminated on the grounds that— i it was not in the interests of, or conducive to the good management of, the body that he should continue to hold office, ii it was not in the interests of the health service that he should continue to hold office, or iii he failed, without reasonable cause, to attend any meeting of that body for a period of three months or more, iv he failed to declare a pecuniary interest or withdraw from consideration of any matter in respect of which he had a pecuniary interest; e he— i is subject to a national disqualification under section 49N of the 1977 Act imposed by the Family Health Services Authority constituted under section 49S of the 1977 Act, ii is subject to a national disqualification under a decision of the National Health Service Tribunal, which is treated as a national disqualification by virtue of regulation 6 (4)(b) of the Abolition of the National Health Service Tribunal (Consequential Provisions) Regulations 2001 , iii has been refused nomination or approval to fill a vacancy for a medical practitioner pursuant to regulations made under section 29B(2A) of the 1977 Act or refused admission to a primary care list, on grounds corresponding to the conditions referred to in section 49F(2),(3) or (4) of the 1977 Act (efficiency cases, fraud cases and unsuitability cases) and has not subsequently been approved or, as the case may be, included in a primary care list, iv is conditionally included in a primary care list under section 43ZA of the 1977 Act , v has been removed from a primary care list under section 49F of the 1977 Act, or by a direction of the National Health Service Tribunal and has not subsequently been included in such a list, vi is contingently removed from a primary care list under section 49G of the 1977 Act , or vii is suspended from a primary care list under section 49I of the 1977 Act or is treated as so suspended by virtue of regulation 6(2) of the Abolition of the National Health Service Tribunal (Consequential Provisions) Regulations 2001, and in this sub-paragraph any reference to a provision in the 1977 Act includes a reference to the provision corresponding to that provision in Scotland and Northern Ireland; f he is subject to a disqualification order under the Company Directors Disqualification Act 1986 , the Companies (Northern Ireland) Order 1986 or to an order made under section 429(2)(b) of the Insolvency Act 1986 (failure to pay under county court administration order); g he has been— i removed from the office of charity trustee or trustee for a charity by an order made by the Charity Commissioners or the High Court on the grounds of any misconduct or mismanagement in the administration of the charity for which he was responsible or to which he was privy, or which he by his conduct contributed to or facilitated; or ii removed under section 7 of the Law Reform (Miscellaneous Provisions) (Scotland) Act 1990 (powers of Court of Session to deal with management or control of any body); h he is an employee or officer of the Commission; i he is a member of a Patients' Forum; j he has previously served as a member of the Commission for two terms of office (whether consecutive or not). 2 For the purposes of paragraph (1)(a), the date of conviction shall be deemed to be the date on which the period allowed for making an appeal or application with respect to the conviction expires or, if such an appeal or application is made, the date on which the appeal or application is finally disposed of or abandoned or fails by reason of its not being prosecuted. 3 For the purposes of paragraph (1)(c), a person shall not be treated as having been in paid employment by reason only of his having been the chairman or member or director of a health service body. 4 The bodies referred to in paragraph (1) as specified are— a the General Social Care Council ; b the Commission for Health Improvement ; c the Human Fertilisation and Embryology Authority ; d the National Biological Standards Board ; e the Public Health Laboratory Service Board ; f the National Radiological Protection Board ; g the National Care Standards Commission . Cessation of disqualification 6 1 Where a person is disqualified under regulation 5(1)(b) by reason of having been adjudged bankrupt or having had a sequestration of his estate awarded— a if the bankruptcy is annulled on the ground that he ought not to have been adjudged bankrupt or on the ground that his debts have been paid in full, the disqualification shall cease on the day of the annulment; b if he is discharged, the disqualification shall cease on the day of his discharge. 2 Where a person is disqualified under regulation 5(1)(b) by reason of his having made a composition or arrangement with, or granted a trust deed for, his creditors— a if he pays his debts in full, the disqualification shall cease on the day on which such payment is completed; and b in any other case, it shall cease on the fifth anniversary of the day on which the terms of the deed of composition or arrangement, or, as the case may be, of the trust deed, are fulfilled. 3 Subject to paragraph (4), where a person is disqualified under regulation 5(1)(c) he may, after the second anniversary of the day on which he was dismissed, apply in writing to the Secretary of State to remove the disqualification, and the Secretary of State may direct that the disqualification shall cease. 4 Where the Secretary of State refuses an application to remove a disqualification, no further application may be made by that person until the second anniversary of the day of the refusal and this paragraph shall apply to any subsequent application. 5 Where a person is disqualified under regulation 5(1)(d), the disqualification shall cease on the second anniversary of the termination of his tenure of office, or such longer period as may be specified on the termination, but the Secretary of State may, on application being made to him by that person, reduce the period of disqualification. Termination of tenure of office 7 1 A member may resign his office at any time during his term of office, by giving notice in writing to the Secretary of State. 2 Where an existing member is appointed to be the chairman, his original tenure of office shall terminate when his appointment as chairman takes effect. 3 Where the Secretary of State is of the opinion that it is not in the interests of the Commission or the health service that a member should continue to hold office, he may terminate his tenure of office by giving him notice in writing to that effect. 4 If a member fails to attend any meeting of the Commission for a period of three months the Secretary of State shall terminate that person’s tenure of office, unless he is satisfied that— a the absence was due to a reasonable cause; and b the person in question will be able to attend meetings of the Commission within such period as the Secretary of State considers reasonable. 5 Where a person has been appointed to be a member, and— a it comes to the notice of the Secretary of State that at the time of his appointment he was disqualified under regulation 5, the Secretary of State shall declare that the person in question was not duly appointed and notify him in writing to that effect; or b he becomes disqualified for appointment under regulation 5, and notifies (as he should) the Secretary of State; or c he becomes disqualified for appointment under regulation 5 and this comes to the attention of the Secretary of State otherwise than by the member’s notification, the Secretary of State shall notify him in writing of such disqualification, and upon receipt of notification from the member or the Secretary of State, as the case may be, his tenure of office, if any, shall be terminated and he shall cease to act as such a member. 6 If it appears to the Secretary of State that a member has failed to comply with regulation 10(1) (disability on account of pecuniary interest) he may terminate that person’s tenure of office by giving him notice in writing to that effect. Appointment of committees and sub-committees 8 1 The Commission may appoint a committee to discharge, or assist it in discharging, its functions. 2 A committee appointed under paragraph (1) may consist wholly or partly of members of the Commission or wholly of persons who are not members of the Commission. 3 A committee appointed under paragraph (1) may, subject to such directions as may be given by the Commission, appoint sub-committees consisting wholly or partly of members of the committee (whether or not they are members of the Commission) or wholly of persons who are not members of the Commission or the committee. 4 Regulation 5, other than paragraph (1)(h), and regulation 6 apply to the appointment of members of committees and sub-committees appointed under this regulation as they apply to the appointment of members of the Commission. Meetings and proceedings 9 1 The meetings and proceedings of the Commission shall be conducted in accordance with the rules set out in Schedule 1 to these Regulations and with Standing Orders made under paragraph (2). 2 Subject to those rules and to any directions given by the Commission under regulation 8(3) the Commission— a shall make, and may vary, suspend or revoke, Standing Orders for the regulation of its proceedings and business; and b may make, vary, suspend or revoke Standing Orders relating to the quorum, proceedings and place of meeting of any committee or sub-committee of the Commission but, if there are no such relevant Standing Orders, the quorum, proceedings and place of meeting shall be such as the committee or sub-committee may determine. 3 The proceedings of the Commission shall not be invalidated by any vacancy in its membership or by any defect in a member’s appointment. Disability of members in proceedings on account of pecuniary interest 10 1 Subject to the following provisions of this regulation, if a member has any pecuniary interest, direct or indirect, in any matter and is present at any meeting of the Commission at which the matter is the subject of consideration, he shall at that meeting and as soon as practicable after its commencement, disclose his interest and shall not take part in the consideration or discussion of the matter or vote on any question with respect to it. 2 The Secretary of State may, subject to such conditions as he may think fit to impose, remove any disability imposed by this regulation in any case in which it appears to him to be in the interests of the health service that the disability should be removed. 3 The Commission may, by Standing Orders made under regulation 9(2), provide for the exclusion of a member from a meeting of the Commission while any matter in which he has a pecuniary interest, direct or indirect, is under consideration. 4 Any remuneration, compensation or allowances payable to a member by virtue of paragraph 7 of Schedule 6 to the Act (remuneration and allowances) shall not be treated as a pecuniary interest for the purpose of this regulation. 5 Subject to paragraphs (2) and (6), the circumstances in which a member shall be treated for the purpose of this regulation as having an indirect pecuniary interest in a matter include— a if he, or a nominee of his, is a director of a company or other body, not being a public body, which has a direct pecuniary interest in the matter under consideration; or b if he is a partner of, or is in the employment of, a person who has a direct pecuniary interest in the matter under consideration, and in the case of persons living together as a couple (whether married or not) the interest of one shall, if known to the other, be deemed for the purpose of this regulation to be also an interest of that other. 6 A member shall not be treated as having a pecuniary interest in any matter by reason only— a of his membership of a company or other body if he has no beneficial interest in any securities of that company or other body; or b of an interest in any company, body or person with which he is connected as mentioned in paragraph (5) which is so remote or insignificant that it cannot reasonably be regarded as likely to influence him in the consideration or discussion of, or in voting on, any question with respect to that matter. 7 Where a member— a has an indirect pecuniary interest in a matter by reason only of a beneficial interest in securities of a company or other body; b the total nominal value of those securities does not exceed £5,000 or one-hundredth of the total nominal value of the issued share capital of the company or body, whichever is the lesser; c if the share capital is of more than one class, the total nominal value of shares of any one class in which he has a beneficial interest does not exceed one-hundredth of the total issued share capital of that class; and d he has declared his interest, this regulation shall not prohibit him from taking part in the consideration or discussion of the matter, or from voting on any question with respect to it. 8 This regulation applies to a committee or sub-committee as it applies to the Commission and applies to a member of any such committee or sub-committee (whether or not he is also a member of the Commission) as it applies to a member of the Commission. 9 In this regulation— “public body” includes any body established for the purpose of carrying on, under national ownership, any industry or part of any industry or undertaking, the governing body of any university, university college or college, school or hall of a university and the National Trust for Places of Historic Interest or Natural Beauty incorporated by the National Trust Act 1907 ; “securities” means— shares or debentures, whether or not constituting a charge on the assets of a company or other body, or rights or interests in any share or such debentures; or rights (whether actual or contingent) in respect of money lent to, or deposited with, any industrial or provident society or building society; “shares” means shares in the share capital of a company or other body or the stock of a company or other body. Access to meetings and documents 11 Schedule 2 has effect. Signed by authority of the Secretary of State for Health David Lammy Parliamentary Under Secretary of State, Department of Health 9th December 2002