Health And Safety Citation and commencement 1 1 These Regulations may be cited as the Ionising Radiation (Medical Exposure) (Amendment) Regulations 2018. 2 These Regulations come into force immediately after the coming into force of the Ionising Radiation (Medical Exposure) Regulations 2017 . Amendment of the Ionising Radiation (Medical Exposure) Regulations 2017 2 1 The Ionising Radiation (Medical Exposure) Regulations 2017 are amended as follows. 2 In regulation 3 (application)— a re-number the existing provision as (1); b after the newly re-numbered paragraph (1), insert— 2 Regulation 21 and paragraphs 1 and 2 of Schedule 4 apply to the exposure of ionising radiation in Northern Ireland. . 3 In regulation 14 (expert advice), in paragraph (2), in sub-paragraph (c) for “sub-paragraphs (b) and (c)” substitute “sub-paragraphs (a) and (b)”. 4 In Schedule 4 (consequential amendments)— a in paragraph 1 (amendment of the Justification of Practices Involving Ionising Radiation Regulations 2004 ), for sub-paragraph (2) substitute— 2 For regulation 21 (saving for medical practices) substitute— 21 Nothing in regulation 4(5) or 5(3) shall prevent anything permitted under regulation 11 of the Ionising Radiation (Medical Exposure) Regulations 2017 or regulation 11 of the Ionising Radiation (Medical Exposure) Regulations (Northern Ireland) 2018 . . ; b in paragraph 2 (amendment of the Human Medicines Regulations 2012 )— i for sub-paragraph (2), substitute— 2 In regulation 173 (exemption for certain radiopharmaceuticals), for paragraph (d) substitute— d for administration— i in England and Wales and Scotland in accordance with a licence issued under the Ionising Radiation (Medical Exposure) Regulations 2017; ii in Northern Ireland in accordance with a licence issued under the Ionising Radiation (Medical Exposure) Regulations (Northern Ireland) 2018.”. ; ii for sub-paragraph (3) (radioactive medicinal products), substitute— 3 For regulation 240 (radioactive medicinal products), substitute— Radioactive medicinal products 240 1 Regulation 214(2) does not apply to— a a radioactive substance, administration of which results in a medical exposure; or b any other prescription only medicine if it is being administered in connection with a medical exposure, if Conditions A to E are met. 2 Condition A is that the prescription only medicine is administered by an operator acting in accordance with the procedures and protocols referred to— a in England and Wales and Scotland, in regulation 6(1) and (4) of the Ionising Radiation (Medical Exposure) Regulations 2017 which apply to the exposure; b in Northern Ireland, in regulation 6(1) and (4) of the Ionising Radiation (Medical Exposure) Regulations (Northern Ireland) 2018 which apply to the exposure. 3 Condition B is that the medical exposure has been authorised by— a an IRME practitioner; or b where it is not practical for an IRME practitioner to authorise the exposure, an operator acting in accordance with written guidelines issued by an IRME practitioner. 4 Condition C is that— a in England and Wales and Scotland, the IRME practitioner mentioned in sub-paragraph (a) or (b) of paragraph (3) is the holder of a licence issued under the Ionising Radiation (Medical Exposure) Regulations 2017; b in Northern Ireland, the IRME practitioner mentioned in sub-paragraph (a) or (b) of paragraph (3) is the holder of a licence issued under the Ionising Radiation (Medical Exposure) Regulations (Northern Ireland) 2018. 5 Condition D is that the prescription only medicine is not a product subject to special medical prescription. 6 Condition E is that, in the case of a prescription only medicine that is not a radioactive substance, it is specified in the protocols referred to in paragraph (2). 7 In this regulation— “IRME practitioner” means— in relation to a medical exposure in England and Wales and Scotland, a practitioner for the purposes of the Ionising Radiation (Medical Exposure) Regulations 2017; in relation to a medical exposure in Northern Ireland, a practitioner for the purposes of the Ionising Radiation (Medical Exposure) Regulations (Northern Ireland) 2018; “medical exposure” has the same meaning— in England and Wales and Scotland as in the Ionising Radiation (Medical Exposure) Regulations 2017; in Northern Ireland as in the Ionising Radiation (Medical Exposure) Regulations (Northern Ireland) 2018; “radioactive substance” has the same meaning— in England and Wales and Scotland as in the Ionising Radiation (Medical Exposure) Regulations 2017; in Northern Ireland as in the Ionising Radiation (Medical Exposure) Regulations (Northern Ireland) 2018. . . Signed by authority of the Secretary of State for Health and Social Care. Stephen Brine Parliamentary Under-Secretary of State, Department of Health and Social Care 31st January 2018