NATIONAL HEALTH SERVICE, ENGLAND AND WALES Citation, commencement and interpretation 1 1 These Regulations may be cited as the National Health Service (Service Committees and Tribunal) Amendment Regulations 1994 and shall come into force on 1st April 1994. 2 In these Regulations, “the principal Regulations ” means the National Health Service (Service Committees and Tribunal) Regulations 1992 . Amendment of regulation 5 of the principal Regulations 2 1 Regulation 5 of the principal Regulations (making of complaints) is amended as follows. 2 In paragraph (1), after “notice to the” there is inserted “appropriate”. 3 After paragraph (1) there is inserted— 1A The appropriate FHSA is— a the one on whose medical, dental, ophthalmic or pharmaceutical list the name of the practitioner was included; or b where the complaint relates to the acts or omissions of a doctor when acting as deputy to another doctor, the one on whose medical list the name of that other doctor was included, at the time of the event, treatment or matter which is the subject of the complaint, or, where the practitioner referred to in sub-paragraph (a) or other doctor referred to in sub-paragraph (b) was at that time on more than one such list the FHSA by arrangement with which the Part-II services giving rise to the complaint were provided. Amendment of regulation 6 of the principal Regulations 3 1 Regulation 6 of the principal Regulations (investigation of complaints) is amended as follows. 2 In paragraph (3)— a at the beginning there is inserted “Subject to paragraph 2(5) of Schedule 4”; b in sub-paragraph (a)— i “also” is omitted, and ii for “the medical list” there is substituted “a medical list”; c in sub-paragraph (b)— i for “the medical list” where it first occurs there is substituted “a medical list”, and ii “also” is omitted; d for “both doctors” there is substituted “the deputy alone”; and e after “accordingly” there is inserted “except where there are reasonable grounds for believing that the doctor for whom the deputy was acting has failed to comply with his obligations under the terms of service in relation to ensuring the provision of services to his patients, in which case the complaint shall be taken as a complaint against both doctors and investigated accordingly.” 3 In paragraph (6), for “the FHSA”there is substituted “an FHSA”. Amendment of regulation 10 of the principal Regulations 4 In regulation 10 of the principal Regulations (appeal to the Secretary of State), for paragraph (3A) there is substituted— 3A Subject to paragraph (6), on an appeal which paragraph (1)(aa) applies, the Secretary of State shall determine whether there are reasonable grounds for believing that the practitioner has failed to comply with any of his terms of service; and if he determines that there are such grounds, he shall specify those terms of service in his determination. Amendment of regulation 11 of the principal Regulations 5 In regulation 11(14A) of the principal Regulations (procedure on appeal), “or as the case may be under paragraph 2(5B) by the appropriate committee itself,”is omitted. Amendment to Schedule 4 to the principal Regulations 6 1 Schedule 4 to the principal Regulations (procedure for investigations by appropriate committees) is amended as follows. 2 In paragraph 2— a in sub-paragraph (1)(a), for “the medical list” there is substituted “a medical list”; and b for sub-paragraphs (4) to (5B) there is substituted— 4 A complaint mentioned in regulation 6(3)(a) or (b) (complaints about deputies) shall be brought as soon as practicable before the medical service committee. 5 If, in the case of such a complaint, the medical service committee considers that the notice of complaint and other documents disclose reasonable grounds for believing that the doctor for whom the deputy was acting has failed to comply with his obligations under the terms of service in relation to ensuring the provision of services for his patients, the doctor shall be a party to the investigation and the provisions of these Regulations shall apply to him accordingly. 6 In a case to which sub-paragraph (5) applies, the medical service committee shall identify each provision of the doctor’s terms of service with which it considers he may have failed to comply, and notify the FHSA accordingly. 3 In paragraph 3, for “2(5B)” in each place where it occurs there is substituted “2(6)”. 4 In paragraph 4(2), “2(5A)” is omitted. 5 In paragraph 7— a in sub-paragraph (1) “or 2(5A)” is omitted; and b for sub-paragraph (1A) there is substituted— 1A In a case falling within paragraph 1(6A), the report shall state why the committee considers that there are no reasonable grounds for believing that the practitioner has failed to comply with his terms of service. 6 In paragraph 10, after sub-paragraph (c) there is inserted— d “terms of service” means, in relation to a doctor acting as deputy, the terms of service of the doctor for whom he was acting as deputy. Virginia Bottomley One of Her Majesty’s Principal Secretaries of State Department of Health 9th March 1994