NATIONAL HEALTH SERVICE, ENGLAND AND WALES Citation, commencement and interpretation 1 1 These Regulations may be cited as the National Health Service (General Medical Services) Amendment (No. 3) Regulations 1997. 2 These Regulations shall come into force on 5th November 1997, except for regulation 3, which shall come into force on 1st January 1998. 3 In these Regulations, “the 1992 Regulations ” means the National Health Service (General Medical Services) Regulations 1992 . GMS local development schemes 2 1 In regulation 34 of the 1992 Regulations (payments to doctors), at the beginning of paragraph (1), insert “Subject to regulation 34B,”. 2 After regulation 34A insert— GMS local development schemes 34B 1 A Health Authority may as respects any financial year establish one or more GMS local development schemes if— a the Secretary of State has for the purposes of any such scheme as it may establish designated the Health Authority as the determining authority for the remuneration of doctors whose names are included in its medical list; and b such remuneration is of a description designated by the Secretary of State in relation to that financial year for the purposes of section 97(3A)(d) of the Act . 2 Schedule 7A defines a GMS local development scheme, and makes further provision in connection with them. 3 The Health Authority shall consult the Local Medical Committee— a before establishing a GMS local development scheme; and b before making any determination of remuneration for the purposes of a GMS local development scheme, and before amending or revoking any such determination. 4 In respect of each financial year the Health Authority shall make payments in accordance with the determination to those doctors whose names are included in its medical list who qualify by virtue of the determination for such payments. 5 As soon as reasonably possible after the end of each financial year, the Health Authority shall publish the following information about the GMS local development schemes established in its area as respects that financial year— a the aggregate amount of all the payments under paragraph (4) made or due to doctors in respect of that financial year for all the Health Authority’s GMS local development schemes taken together; b the number of such doctors; and c a description of the aspects of general medical services which were the subject of the Health Authority’s GMS local development schemes in that financial year. . 3 In regulation 35 of the 1992 Regulations (claims and overpayments), in paragraph (1), at the end insert “or (as the case may be) with the terms of a GMS local development scheme”. 4 After Schedule 7 to the 1992 Regulations, insert Schedule 7A as set out in the Schedule to these Regulations. General Practice ( GP ) Registrars 3 1 The 1992 Regulations are amended as follows. 2 In regulation 2(1) (interpretation), omit the definition “trainee general practitioner” and insert the following definition in the appropriate alphabetical position— “General Practice (GP) Registrar” means a doctor who is being trained in general practice by a doctor whose name is included in a medical list; . 3 In regulation 8 (local directory of family doctors), in paragraph (1)(f), for “trainee general practitioners” substitute “General Practice (GP) Registrars”. 4 In Schedule 2 (terms of service for doctors)— a in paragraph 1 (interpretation), in the definition of “assistant”, for “trainee general practitioner” substitute “General Practice (GP) Registrar”; and b in paragraph 22A (which requires doctors who are engaged as deputies or employed as assistants to satisfy certain conditions), in paragraph (c), for “trainee general practitioner” substitute “General Practice (GP) Registrar”. 5 In Part II of Schedule 3 (information and undertakings to be included in an application to fill a vacancy), in each of paragraphs 19(a) and 20, for “trainee” substitute “General Practice (GP) Registrar”. Frank Dobson One of Her Majesty’s Principal Secretaries of State, Department of Health 15th October 1997