National Health Service Act 1977 Part I Services and Administration Functions of the Secretary of State Secretary of State’s duty as to health service. 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Secretary of State’s general power as to services. 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Services generally. 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . High security psychiatric services. 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other services. 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Central Health Services Council and Medical Practices Committee Central Health Services Council, and standing advisory committees. 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medical Practices Committee. 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Local administration Health Authorities and Strategic Health Authorities 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Family Practitioner Committees. 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Special Health Authorities. 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supplementary provisions for ss. 8 and 11. 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Secretary of State’s directions. 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Duty of Health Authority in relation to family health services. 15 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exercise of functions by Health Authorities and Special Health Authorities. 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Primary Care Trusts. 16A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exercise of functions by Primary Care Trusts. 16B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Local Health Boards 16BA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Local Health Boards: functions 16BB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exercise of functions by Local Health Boards 16BC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Advice for Health Authorities and Primary Care Trusts. 16C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Functions of Primary Care Trusts and Local Health Boards Primary dental services 16CA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dental public health 16CB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Primary medical services 16CC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Directions as to distribution and exercise of functions Secretary of State’s directions: distribution of functions. 16D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Secretary of State’s directions: exercise of functions. 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Strategic Health Authority’s directions: distribution of functions. 17A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Health Authority’s directions: exercise of functions. 17B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Directions and regulations: general Directions and regulations under preceding provisions. 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Primary Care Trusts: further functions Provision of services etc. 18A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Advisory committees for Wales and Community Health Councils Advisory committees for Wales. 19 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Independent advocacy services 19A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Community Health Councils. 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Community Health Councils in Wales 20A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Co-operation and assistance Local social services authorities. 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Co-operation between health authorities and local authorities. 22 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Voluntary organisations and other bodies. 23 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Supplies not readily obtainable. 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supply of goods and services by Secretary of State. 26 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conditions of supply under s. 26. 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supply of goods and services by local authorities. 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power to make payments towards expenditure on community services. 28A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power of Secretary of State to make payments towards expenditure on community services in Wales. 28B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power of local authorities to make payments to NHS bodies. 28BB . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provision of personal medical or dental services Personal medical or dental services. 28C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Persons with whom agreements may be made. 28D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lists of persons who may perform personal medical services or personal dental services 28DA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Personal medical or dental services: regulations. 28E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Delegation of Health Authority functions relating to section 28C arrangements. 28EE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Right to choose medical practitioner. 28F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Right to choose dental practitioner. 28G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Immunisation. 28H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Use of accommodation. 28I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Local pharmaceutical services schemes 28J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General dental services contracts General dental services contracts: introductory 28K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Requirement to provide certain primary dental services 28L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Persons eligible to enter into GDS contracts 28M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GDS contracts: payments 28N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GDS contracts: other required terms 28O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GDS contracts: disputes and enforcement 28P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General medical services contracts General medical services contracts: introductory 28Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Requirement to provide certain primary medical services 28R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Persons eligible to enter into GMS contracts 28S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GMS contracts: payments 28T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GMS contracts: prescription of drugs etc 28U . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GMS contracts: other required terms 28V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GMS contracts: disputes and enforcement 28W . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Persons performing primary medical and dental services 28X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Assistance and support 28Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part II General Medical, General Dental, General Ophthalmic, and Pharmaceutical Services General medical services Arrangements and regulations for general medical services. 29 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medical lists. 29A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vacancies for medical practitioners. 29B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Requirement of suitable experience. 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regulations as to s. 31. 32 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distribution of general medical services. 33 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regulations for Medical Practices Committee. 34 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General dental services Arrangements for general dental services. 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regulations as to s. 35. 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dental Estimates Board. 37 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General ophthalmic services Arrangements for general ophthalmic services. 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regulations as to s. 38. 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medical practitioners with qualifications prescribed under s. 38. 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pharmaceutical services Arrangements for pharmaceutical services 41 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Arrangements for providing additional pharmaceutical services. 41A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Terms and conditions etc. 41B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regulations as to pharmaceutical services. 42 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power to charge: England 42A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power to charge: Wales 42B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Persons authorised to provide pharmaceutical services. 43 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conditional inclusion in medical, dental, ophthalmic and pharmaceutical lists 43ZA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Indemnity cover Indemnity cover. 43C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supplementary lists 43D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Local representative committees Recognition of Local Optical Committees and Local Pharmaceutical Committees. 44 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Functions of Local Optical Committees and Local Pharmaceutical Committees. 45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Local Medical Committees 45A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Local Dental Committees 45B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provisions as to disqualification of practitioners Disqualification of practitioners. 46 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Removal of disqualification. 47 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disqualification provisions in Scotland or Northern Ireland. 48 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regulations as to ss. 46 to 48. 49 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Applications for interim suspension. 49A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuation of suspension pending appeal. 49B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sections 49A and 49B: procedure etc. 49C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Suspension provisions in Scotland or Northern Ireland. 49D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments in consequence of suspension. 49E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disqualification of practitioners 49F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contingent removal 49G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fraud and unsuitability cases: supplementary 49H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Suspension 49I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Suspension pending appeal 49J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Effect of suspension 49K . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Review of decisions 49L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Appeals 49M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . National disqualification 49N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Notification of decisions 49O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Withdrawal from lists 49P . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regulations 49Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Corresponding provision in Scotland and Northern Ireland 49R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Family Health Services Appeal Authority The Family Health Services Appeal Authority 49S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other provisions supplementary to Part II Exercise of choice of practitioner in certain cases. 50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . University clinical teaching and research. 51 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Use of accommodation. 52 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Immunisation. 53 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sale of medical practices. 54 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Inadequate services. 56 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part III Other Powers of the Secretary of State as to theHealth Service Control of maximum prices for medical supplies Maximum price of medical supplies may be controlled. 57 1 The Secretary of State may by order provide for controlling maximum prices to be charged for any medical supplies required for the purposes of this Act. 2 The Secretary of State may by direction given with respect to any undertaking, or by order made with respect to any class or description of undertakings, being an undertaking or class or description of undertakings concerned with medical supplies required for the purposes of this Act, require persons carrying on the undertaking or undertakings of that class or description— a to keep such books, accounts and records relating to the undertaking as may be prescribed by the direction or, as the case may be, by the order or a notice served under the order; b to furnish at such times, in such manner and in such form as may be so prescribed such estimates, returns or information relating to the undertaking as may be so prescribed. 3 The additional provisions set out in Schedule 11 to this Act have effect in relation to this section; and “ medical supplies ” in this section includes surgical, dental and optical materials and equipment; and “ undertaking ” in this section and that Schedule means any public utility undertaking or any undertaking by way of trade or business. Additional powers as to services and supplies; and the use of those services and supplies for private patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Restriction of powers under ss. 25, 58 and 61. 62 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Further provisions as to payments by patients for health service accommodation and services Hospital accommodation on part payment. 63 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Expenses payable by remuneratively employed resident patients. 64 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accommodation and services for private patients. 65 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Use by practitioners of health service facilities for private Practice Permission for use of facilities in private practice. 72 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Regulations as to certain charges Charges for drugs, medicines or appliances, or pharmaceutical services. 77 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Charges for ... optical appliances. 78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dental charging 79 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Calculation of charges for dental appliances and treatment. 79A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Charges for designated facilities. 80 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Charges for more expensive supplies. 81 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Charges for repairs and replacements in certain cases. 82 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sums otherwise payable to those providing services. 83 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remission and repayment of charges and payment of travelling expenses. 83A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inquiries, and default and emergency powers Inquiries. 84 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intervention orders 84A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Intervention orders: effect 84B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Default powers. 85 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Emergency powers. 86 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part IV Property and Finance Land and other Property Acquisition, use and maintenance of property. 87 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transferred property free of trusts. 88 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power of voluntary organisations to transfer property. 89 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Trusts Gifts on trust. 90 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private trusts for hospitals. 91 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Further transfers of trust property. 92 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Trust property previously held for general hospital purposes. 93 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Application of trust property: further provisions. 94 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Special trustees for a university or teaching hospital. 95 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Trusts: supplementary provisions. 96 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Power of health authorities, etc. to raise money, etc., by appeals, collections, etc. 96A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Trust-funds and trustees for Primary Care Trusts. 96B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Companies Public-private partnerships 96C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finance and Accounts Means of meeting expenditure of Health Authorities and Special Health Authorities out of public funds. 97 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Financial duties of Health Authorities and Special Health Authorities. 97A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Resource limits for Health Authorities and Special Health Authorities. 97AA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97B Public funding of Primary Care Trusts. 97C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Financial duties of Primary Care Trusts. 97D . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Resource limits for Primary Care Trusts. 97E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Public funding of Local Health Boards 97F . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Financial duties of Local Health Boards 97G . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Resource limits for Local Health Boards 97H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accounts and audit. 98 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Regulation of financial arrangements. 99 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other Payments. 100 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Secretary of State’s receipts. 101 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Miscellaneous provisions as to remuneration, allowances and superannuation Allowances and remuneration for members of certain bodies. 102 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Special arrangement as to payment of remuneration. 103 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Superannuation of officers of certain hospitals. 104 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Payments for certain medical examinations. 105 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part V Appointment and tenure of office of Commissioners. 106 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Salaries and pensions of Commissioners. 107 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Administrative provisions. 108 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Appointment of acting Commissioners. 108A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bodies subject to investigation. 109 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investigations for England, and for Wales. 110 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Who may complain. 111 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reply. 112 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Commissioner’s discretion. 113 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Procedure, and additional procedural provisions. 114 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Matters subject to investigation. 115 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Matters not subject to investigation. 116 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reference to Commissioner by relevant body. 117 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Consultations between Commissioners and Local Commissioners. 118 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reports by Commissioners. 119 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interpretation of Part V. 120 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part VI Miscellaneous and Supplementary General provisions as to charges Charges in respect of non-residents. 121 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Recovery of charges. 122 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Recovery of other charges and payments. 122A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Penalties. 122B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Offences. 122C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Miscellaneous Persons displaced by health service development. 123 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Special notices of births and deaths. 124 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provision of information by Registrar General. 124A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Protection of members and officers of authorities. 125 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supplementary Orders and regulations, and directions. 126 1 Any power to make orders , rules or regulations conferred by this Act shall be exercisable by statutory instrument, and a statutory instrument made by virtue of this Act shall , unless it is a PCT order or an instrument to which subsection (1A) applies or an instrument made by the National Assembly for Wales , be subject to annulment in pursuance of a resolution of either House of Parliament. This subsection— a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b does not apply to an order made under section 28EE(2) or section 84A above, paragraph 20, 21 or 23 of Schedule 5A to this Act , paragraph 19, 20 or 22 of Schedule 5B to this Act or to paragraph 10 of Schedule 11 to this Act. 1A The Secretary of State may not make a statutory instrument containing the first regulations made under section 79(1) above (as substituted by the Health and Social Care (Community Health and Standards) Act 2003) unless a draft of the instrument has been laid before, and approved by resolution of, each House of Parliament. 2 Any power to make regulations conferred on the Secretary of State by this Act or Part I of the National Health Service and Community Care Act 1990 is, if the Treasury so directs, exercisable by the Treasury and the Secretary of state acting jointly, except in the case of— a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b regulations made under section 77(1) above in respect of charges for the drugs, medicines or appliances referred to in paragraph (a) of that subsection, or under paragraphs 1(1) of Schedule 12 to this Act or Part I of the National Health Service and Community Care Act 1990 in respect of the remission or repayment of any charge payable under that section in the cases provided for in paragraph 1(1) of that Schedule; c regulations made under paragraph 2(2) of that Schedule; d regulations made under paragraph 2(6) of that Schedule. 3 Where under or by virtue of any provision of this Act or Part I of the National Health Service and Community Care Act 1990 — a power to make an order may be exercisable, or b directions may be given, that provision includes power to vary or revoke the order or direction, as the case may be, by subsequent order or by subsequent directions. 3A Directions given by the Secretary of State or by a Strategic Health Authority or Health Authority in pursuance of any provision of this Act or Part I of the National Health Service and Community Care Act 1990 shall be given by an instrument in writing. 3B In relation to directions given in pursuance of section 16BB or sections 16D to 17B above section 18 above applies in place of subsections (3) and (3A) above. 3C Any person or body to whom directions are given in pursuance of any provision of this Act or Part I of the National Health Service and Community Care Act 1990 shall comply with the directions. 4 Any power conferred by this Act or Part I of the National Health Service and Community Care Act 1990 to make orders , rules , regulations or schemes, and any power conferred by section 16BB, 18 or 19A(7) above , or by section 28E(3A), 28N, 28T , 28U or 28WD above, or by section 42A or 42B above, to give directions by an instrument in writing, may unless the contrary intention appears, be exercised— a either in relation to all cases to which the power extends, or in relation to all those cases subject to specified exceptions, or in relation to any specified cases or classes of case, and b so as to make, as respects the cases in relation to which it is exercised— i the full provision to which the power extends or any less provision (whether by way of exception or otherwise), ii the same provision for all cases in relation to which the power is exercised, or different provision for different cases or different classes of case, or different provision as respects the same case or class of case for different purposes of this Act or Part I of the National Health Service and Community Care Act 1990 or that section, iii any such provision either unconditionally, or subject to any specified condition, and includes power to make such supplementary, incidental, consequential, transitory, transitional or saving provision in the orders , rules , regulations, schemes or directions as the persons making or giving them consider appropriate. This subsection does not only apply to ... an order made under section 57 above (but without prejudice to paragraph 1(1) of Schedule 11 to this Act or Part I of the National Health Service and Community Care Act 1990 ) 4A Supplementary, incidental, consequential, transitory, transitional or saving provision made by virtue of subsection (4) above in connection with an order under section 20A above, or regulations under Schedule 7A to this Act, may include provision amending or repealing any provision made by or under an enactment. 5 Without prejudice to the generality of subsection (4) above, any power which may be exercised as mentioned in paragraphs (a) and (b) of that subsection (other than a power to make rules) may make different provision for different areas. Supplementary regulatory powers. 127 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interpretation and construction. 128 1 In this Act and Part I of the National Health Service and Community Care Act 1990 , unless the contrary intention appears— . . . . . . . . . ... “ dental practitioner ” means a person registered in the dentists register under the Dentists Act 1984 ; “ disabled persons ” means persons who are blind, deaf or dumb or who suffer from mental disorder of any description and other persons who are substantially and permanently handicapped by illness, injury or congenital deformity or such other disability as may be prescribed; “ dispensing optician ” means a person who is registered in the register kept under section 2 of the Opticians Act 1958 of dispensing opticians or a body corporate enrolled in the list kept under section 4 of that Act of such bodies carrying on business as dispensing opticians; “ equipment ” includes any machinery, apparatus or appliance, whether fixed or not, and any vehicle; “ the FHSAA ” means the Family Health Services Appeal Authority; “ financial year ” means a period of 12 months ending with 31st March in any year; “ functions ” included powers and duties; . . . . . . “ general dental services contract ” has the meaning given by section 28K above; “ general medical services contract ” has the meaning given by section 28Q above; “ the health service ” means the health service established in pursuance of section 1 of the National Health Service Act 1946 and continued under section 1(1) above; “ health service body ” has the same meaning as in section 4 of the National Health Service and Community Care Act 1990; “ health service hospital ” means a hospital vested in the Secretary of State for the purposes of his functions under this Act or vested in a Primary Care Trust , an NHS trust or an NHS foundation trust ; “ high security psychiatric services ” has the meaning given by section 4 above . . . “ hospital ” means— any institution for the reception and treatment of persons suffering from illness, any maternity home, and any institution for the reception and treatment of persons during convalescence or persons requiring medical rehabilitation, and includes clinics, dispensaries and out-patient departments maintained in connection with any such home or institution, and hospital accommodation shall be construed accordingly; “ illness ” includes mental disorder within the meaning of the Mental Health Act 1983 and any injury or disability requiring medical or dental treatment or nursing; “ local authority ” means a county council, . . . a district council, a county borough council, a London borough council, and the Common Council of the City of London; . . . “ local education authority ” has the same meaning as in the the Education Act 1996 ; “ local pharmaceutical services ” means such services of a kind which may be provided under section 41 or by virtue of section 41A (except the provision of drugs, medicines or listed appliances by a medical practitioner or dental practitioner to a patient of his pursuant to arrangements made by virtue of section 43(1)) as are prescribed by regulations under section 28 of the Health and Social Care Act 2001; “ LPS arrangements ” means arrangements made under a pilot scheme established under section 28 of the Health and Social Care Act 2001; “ local social services authority ” means the council of a non-metropolitan county, of a county borough or of a metropolitan district or London borough, or the Common Council of the City of London; “ medical ” includes surgical; ... “ medical practitioner ” means a registered medical practitioner within the meaning of Schedule 1 to the Interpretation Act 1978 “ medicine ” includes such chemical re-agents as are included in a list for the time being approved by the Secretary of State for the purposes of section 41 above; “ modifications ” includes additions, omissions and amendments; “ NHS contract ” has the meaning assigned by section 4(1) of the National Health Service and Community Care Act 1990; “ National Health Service trust ” has the meaning assigned by section 5 of the National Health Service and Community Care Act 1990 and “ NHS trust ” shall be construed accordingly “ officer ” includes servant; “ operational date ”, in relation to an NHS trust, shall be construed in accordance with paragraph 3(1)(e) of Schedule 2 to the National Health Service and Community Care Act 1990 “ optometrist ” means a person registered in the register of optometrists maintained under section 7 of the Opticians Act 1989 , or in the register of visiting optometrists from relevant European States maintained under section 8B(1)(a) of that Act , or a body corporate registered in the register of bodies corporate maintained under section 9 of that Act carrying on business as an optometrist; “ patient ” includes an expectant or nursing mother and a lying-in woman; ... ... “ pharmaceutical services ” has the meaning assigned by section 41 of this Act “ prescribed ” means prescribed by regulations made by the Secretary of State under this Act or Part I of the National Health Service and Community Care Act 1990; “ PCT order ” has the meaning given by section 16A above “ primary dental services ” means services which are primary dental services for the purposes of Part 1 (see section 16CA); “ primary functions ” shall be construed in accordance with section 3 of the National Health Service and Community Care Act 1990 “ primary medical services ” means services which are primary medical services for the purposes of Part 1 (see section 16CC). “ property ” includes rights; . . . “ registered pharmacist ” means a pharmacist registered in the register of pharmaceutical chemists; “ regulations ” means regulations made by the Secretary of State under this Act or Part I of the National Health Service and Community Care Act 1990 ; “ section 28C arrangements ” means arrangements made under section 28C ; . . . “ superannuation benefits ” means annual superannuation allowances, gratuities and periodical payments payable on retirement, death or incapacity, and similar benefits; “ terms of service ” means the terms upon which by virtue of regulations a person undertakes to provide ... general ophthalmic services or pharmaceutical services. “ university ” includes a university college; “ voluntary organisation ” means a body the activities of which are carried on otherwise than for profit, but does not include any public or local authority; . . . 1A So far as is necessary or expedient in consequence of a direction under section 16D or 17A above providing for the exercise by a Strategic Health Authority, Health Authority, Special Health Authority or Primary Care Trust of a function exercisable by another person, any reference in any enactment, instrument or other document to that other person is to be read as a reference to the Strategic Health Authority, Health Authority, Special Health Authority or Primary Care Trust. 2 References in this Act to the purposes of a hospital shall be construed as referring both to the general purposes of the hospital and to any specific purpose of the hospital. 3 Any reference in this Act to any enactment is a reference to it as amended or applied by or under any other enactment including this Act. Transitional provisions and savings, consequential amendments, and repeals. 129 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Short title, extent and commencement. 130 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .