NATIONAL HEALTH SERVICE, ENGLAND AND WALES Citation and interpretation 1 1 This Order may be cited as the National Health Service and Community Care Act 1990 (Commencement No. 6—Amendment, and Transitional and Saving Provisions) Order 1990. 2 In this Order— a “ the Act ” means the National Health Service and Community Care Act 1990; b “the 1977 Act ” means the National Health Service Act 1977 ; c “ the first Order ” means the National Health Service and Community Care Act 1990 (Commencement No. 1) Order 1990 . Amendment of the first Order 2 1 In paragraph (7) of article 2 of the first Order (days appointed)— a sub-paragraph (a) shall be omitted; b in sub-paragraph (c) after the words “(distribution of general medical services)” there shall be inserted the words “, except subsection (4) so far as it repeals the second paragraph of section 33(5) of the 1977 Act (exclusion of right of appeal against refusal on certain grounds of application to provide general medical services).”. 2 In article 3 of the first Order (transitional provision) paragraph (2) shall be omitted. Appointed day 3 1st October 1991 is the day appointed for the coming into force of section 12(4) of the Act (recognition by Family Health Services Authorities of certain local committees). Transitional provisions 4 1 The amendments to section 33 of the 1977 Act made by section 23(2) of the Act shall not have effect in relation to the making of, or the determination by the Medical Practices Committee of, an application under section 30 of the 1977 Act which— a is made before, but is not determined by the Medical Practices Committee before, 1st January 1991; or b is made on or after that date in relation to a vacancy as respects which notice was first given pursuant to regulation 10 of the National Health Service (General Medical and Pharmaceutical Services) Regulations 1974 before that date. 2 Where the Medical Practices Committee has determined an application under section 30 of the 1977 Act which— a was made before 1st January 1991 pursuant to regulation 7(1) of those Regulations; or b pursuant to regulation 7(2) of those Regulations, in relation to a vacancy as respects which notice was first given under regulation 10 of those Regulations before 1st January 1991, sections 33(5), (7) and (8) and 34 of the 1977 Act shall, subject to paragraph (3) of this article, have effect from that date in relation to any appeal from that determination as if section 23(4) to (7) of the Act had not come into force. 3 In relation to the determination of any appeal to which paragraph (2) of this article applies, section 33(5) of the 1977 Act shall have effect subject to the modification that, for the words from “either unconditionally” to “specify” there shall be substituted the words , in which case— the Medical Practices Committee shall grant the application subject to such further condition as the Secretary of State may specify; and subsection (4)(a) shall apply to the granting of the application following the appeal as it applies to the granting of an application in the first instance. . Saving provisions 5 1 A committee which is recognised under section 44(1) of the 1977 Act by the Secretary of State before 1st October 1991 (the date upon which section 12(4) of the Act comes into force) shall on or after that date be treated for the purposes of that subsection as having been recognised by the Family Health Services Authority. 2 Where, before 1st October 1991, the Secretary of State has approved the delegation under section 44(2) of the 1977 Act by a committee of any of their functions, such delegation shall, on or after that date, be treated as having been approved by the Family Health Services Authority. William Waldegrave One of Her Majesty’s Principal Secretaries of State 8th December 1990