NATIONAL HEALTH SERVICE, ENGLAND Citation, commencement, interpretation and application 1 1 These Regulations may be cited as the National Health Service (General Medical Services Contracts) (Prescription of Drugs etc.) (Amendment) Regulations 2004 and shall come into force on 3rd January 2005. 2 These Regulations apply to England only. 3 In these Regulations, “the Prescription of Drugs etc. Regulations ” means the National Health Service (General Medical Services Contracts) (Prescription of Drugs etc.) Regulations 2004 . Amendment of Schedule 2 to the Prescription of Drugs etc. Regulations 2 In Schedule 2 to the Prescription of Drugs etc. Regulations (drugs, medicines and other substances that may be ordered only in certain circumstances)— a In the appropriate alphabetical place in the table having regard to the name of the drug, insert respectively in columns 1, 2 and 3— Oseltamivir (Tamiflu) 1 At-risk adult and child patients where— a It has been determined in accordance with a community based virological surveillance scheme that influenza A or influenza B is circulating in the locality in which the patient resides or is present or was present at the time that the virus was circulating; b the patient has an influenza-like illness; and c the patient can start therapy within 48 hours of the onset of symptoms. Treatment of influenza 2 At-risk patients aged 13 years and older where— a It has been determined in accordance with a community based virological surveillance scheme that influenza A or influenza B is circulating in the locality in which the patient resides; b the patient has been exposed to an influenza-like illness through being in close contact with someone with whom he lives who is or has been suffering from an influenza-like illness; c the patient is not effectively protected by vaccination against influenza because— i he has not been vaccinated because vaccination is contraindicated; ii he has not been vaccinated since the previous influenza season; iii he has been vaccinated but it has yet to take effect; or iv he has been vaccinated but the vaccine is not well matched to the strain of influenza circulating in the locality in which the patient resides or is or has been present; d the patient lives in a residential care establishment and another resident or member of staff of the establishment has an influenza-like illness; and e the patient can start prophylaxis within 48 hours of exposure to an influenza-like illness. Prophylaxis of influenza ; and Zanamivir (Relenza) At-risk adult patients where— It has been determined in accordance with a community based virological surveillance scheme that influenza A or influenza B is circulating in the locality in which the patient resides or is present or was present at the time that the virus was circulating; the patient has an influenza-like illness; and the patient can start therapy within 48 hours of the onset of symptoms. Treatment of influenza . d After the words “in this Schedule—” insert in the appropriate alphabetical place— “ at-risk” means an adult or child patient or a patient over the age of 13 who— has chronic respiratory disease (including asthma and chronic obstructive pulmonary disease); has significant cardiovascular disease, excluding an adult or child patient who has hypertension only; has chronic renal disease; are immunocompromised; has diabetes mellitus; or is aged 65 years or over; ; “child” means any person under the age of 16; ; “patient” has the same meaning as in the National Health Services (General Medical Services Contracts) Regulations 2004 ; ; and “residential care establishment” means a place where persons reside on a long term basis in order to receive continuing care. . Signed by authority of the Secretary of State for Health Warner Parliamentary Under Secretary of State, Department of Health 7th December 2004