National Health Service Act 1977

[F1 Provisions as to disqualification of practitioners] E+W+S

Textual Amendments

F1 Cross-heading preceding s. 46 omitted (14.12.2001 for E. and 1.7.2002 for W.) by virtue of 2001 c. 15, ss. 67(1), 70(2), Sch. 5 Pt 1 para. 5(8) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(4), Sch. 2 (subject to art. 2(5)(6)); S.I. 2002/1475, art. 2(1)

F2 46 Disqualification of practitioners. E+W+S

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F2 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

Modifications etc. (not altering text)

C1 S. 46 (as saved by S.I. 2001/3738, art. 2(5)(6)) modified (E.) (1.10.2002) by The National Health Service Reform and Health Care Professions Act 2002 (Supplementary, Consequential etc. Provisions) Regulations 2002 (S.I. 2002/2469), reg. 16(a)

C2 S. 46(4) (as saved by S.I. 2001/3738, art. 2(5)(6)) modified (E.) (1.10.2002) by The National Health Service Reform and Health Care Professions Act 2002 (Supplementary, Consequential etc. Provisions) Regulations 2002 (S.I. 2002/2469), reg. 16(b)

47 Removal of disqualification. E+W+S

F3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F3 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

48 Disqualification provisions in Scotland or Northern Ireland. E+W+S

F4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F4 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

49 Regulations as to ss. 46 to 48. E+W+S

F5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F5 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

49A Applications for interim suspension. E+W+S

F6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F6 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

Modifications etc. (not altering text)

C3 S. 49A(1) (as saved by S.I. 2001/3738, art. 2(5)(6)) modified (E.) (1.10.2002) by The National Health Service Reform and Health Care Professions Act 2002 (Supplementary, Consequential etc. Provisions) Regulations 2002 (S.I. 2002/2469), reg. 16(a)

49B Continuation of suspension pending appeal. E+W+S

F7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F7 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

49C Sections 49A and 49B: procedure etc. E+W+S

F8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F8 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

49D Suspension provisions in Scotland or Northern Ireland. E+W+S

F9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F9 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

49E Payments in consequence of suspension. E+W+S

F10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

F10 Ss. 46-49E repealed by 2001 c. 15, ss. 67, 70(2), Sch. 5 para. 5(8), Sch. 6 Pt. 1 (with ss. 64(9), 65(4)). In force: 14.12.2001 for E. by S.I. 2001/3738, art. 2(4), Sch. 2 (subject to savings in art. 2(5)(6)); Sch. 5 para. 5(8) in force for W. at 1.7.2002 by S.I. 2002/1475, art. 2(1); Sch. 6 Pt. 1 in force for W. at 26.8.2002 by S.I. 2002/1919, art. 2(1)(2), Sch. Pt. 1

[F11 49F Disqualification of practitioners E+W+S

(1) If it appears to a [F12 Primary Care Trust or] Health Authority that any of the conditions set out in subsections (2) to (4) is established in relation to a person included in any of the following prepared by them—

(a) a list of medical practitioners undertaking to provide general medical services,

(b) a list of medical practitioners undertaking to provide general ophthalmic services,

(c) a list of dental practitioners and dental corporations undertaking to provide general dental services,

(d) a list of ophthalmic opticians undertaking to provide general ophthalmic services, or

(e) a list of persons undertaking to provide pharmaceutical services,

(such a person being referred to in this group of sections as a “practitioner”), they may (or, in cases falling within subsection (6), must) decide to remove him from that list.

(2) The first condition is that the continued inclusion of the person concerned in the list would be prejudicial to the efficiency of the services which those included in the list undertake to provide (and such a case is referred to in this group of sections as an “efficiency case”).

(3) The second condition is that the person concerned—

(a) has (whether on his own or together with another) by an act or omission caused, or risked causing, detriment to any health scheme by securing or trying to secure for himself or another any financial or other benefit, and

(b) knew that he or (as the case may be) the other was not entitled to the benefit,

(and such a case is referred to in this group of sections as a “fraud case”).

(4) The third condition is that the person concerned is unsuitable to be included in the list (and such a case is referred to in this group of sections as an “unsuitability case”).

(5) “This group of sections” means this section and sections 49G to 49R below.

(6) In unsuitability cases, the [F13 Primary Care Trust or] Health Authority must remove the practitioner from the list in prescribed circumstances.

(7) The [F14 Primary Care Trust or] Health Authority must state which condition (or conditions) they are relying on when removing a practitioner from a list.

(8) In subsection (3), “health scheme” means—

(a) any of the health services under section 1(1) above or any corresponding enactment extending to Scotland or Northern Ireland, and

(b) any prescribed scheme,

and regulations may prescribe any scheme for the purposes of this subsection which appears to the Secretary of State to be a health or medical scheme paid for out of public funds.

(9) Detriment to a health scheme includes detriment to any patient of, or person working in, that scheme or any person liable to pay charges for services provided under that scheme.]

Textual Amendments

F11 S. 49F inserted (22.11.2001 for certain purposes for E., 14.12.2001 for all other purposes (except those relating to the provision of pharmaceutical services under the 1977 Act) for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(2), Sch. 1 Pt. II; S.I. 2002/1475, art. 2(1), Sch. Pt. 1

F12 Words in s. 49F inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 21(a); S.I. 2002/2478, art. 3(1)(d)

F13 Words in s. 49F inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 21(a); S.I. 2002/2478, art. 3(1)(d)

F14 Words in s. 49F inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 21(a); S.I. 2002/2478, art. 3(1)(d)

Modifications etc. (not altering text)

C4 S. 49F(8): definition extended (W.) (26.8.2002) by National Health Service (General Ophthalmic Services) Regulations 1986 (S.I. 1986/975), reg. 9A (as inserted (26.8.2002) by National Health Service (General Ophthalmic Services) (Amendment) (Wales) Regulations 2002 (S.I. 2002/1883), reg. 6)

[F15 49G Contingent removal E+W+S

(1) In an efficiency case or a fraud case, the [F16 Primary Care Trust or] Health Authority may, instead of deciding to remove a practitioner from their list, decide to remove him contingently.

(2) If they so decide, they must impose such conditions as they may decide on his inclusion in the list with a view to—

(a) removing any prejudice to the efficiency of the services in question (in an efficiency case), or

(b) preventing further acts or omissions within section 49F(3)(a) above (in a fraud case).

(3) If the [F17 Primary Care Trust or] Health Authority determine that the practitioner has failed to comply with a condition, they may decide to—

(a) vary the conditions, or impose different conditions, or

(b) remove him from their list.

(4) The [F18 Primary Care Trust or] Health Authority may decide to vary the terms of service of the person concerned for the purpose of or in connection with the imposition of any conditions by virtue of this section.]

Textual Amendments

F15 S. 49G inserted (14.12.2001 for E. for all purposes except those relating to the provision of pharmaceutical services under the 1977 Act and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(3), Sch. 1 Pt. III; S.I. 2002/1475, art. 2(1), Sch. Pt. 1

F16 Words in s. 49G inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 21(b); S.I. 2002/2478, art. 3(1)(d)

F17 Words in s. 49G inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 21(b); S.I. 2002/2478, art. 3(1)(d)

F18 Words in s. 49G inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 21(b); S.I. 2002/2478, art. 3(1)(d)

[F19 49H Fraud and unsuitability cases: supplementary E+W+S

(1) Where the practitioner is a body corporate, the body corporate is to be treated for the purposes of this group of sections as meeting the second or third condition referred to in section 49F(3) and (4) above—

(a) in the case of an ophthalmic optician not referred to in paragraph (b) or a dental corporation, if any director meets that condition (whether or not he first did so when he was a director), and

(b) in the case of a body corporate carrying on a retail pharmacy business or an ophthalmic optician which is a limited liability partnership, if any one of the body of persons controlling the body meets that condition (whether or not he first did so when he was such a person).

(2) A practitioner is to be treated for the purposes of this group of sections as meeting the condition referred to in section 49F(3) above if—

(a) another person, because of an act or omission of his occurring in the course of providing any services mentioned in section 49F(1) above on the practitioner’s behalf, meets that condition; and

(b) the practitioner failed to take all such steps as were reasonable to prevent acts or omissions within section 49F(3)(a) above occurring in the course of the provision of those services on his behalf.]

Textual Amendments

F19 S. 49H inserted (14.12.2001 for E. for all purposes except those relating to the provision of pharmaceutical services under the 1977 Act and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(3), Sch. 1 Pt. III; S.I. 2002/1475, art. 2(1), Sch. Pt. 1

[F20 49I Suspension E+W+S

(1) If the [F21 Primary Care Trust or] Health Authority are satisfied that it is necessary to do so for the protection of members of the public or is otherwise in the public interest, they may suspend a practitioner from their list—

(a) while they decide whether or not to exercise their powers under section 49F or 49G (other than in circumstances falling within paragraph (b)), or

(b) while they wait for a decision affecting the practitioner of a court or of a body which regulates—

(i) the practitioner’s profession,

(ii) the profession of a person providing any of the services mentioned in section 49F(1) on the practitioner’s behalf, or

(iii) if the practitioner is a body corporate, the profession of one of its directors or, as the case may be, one of the body of persons controlling it or (if it is a limited liability partnership) one of its members,

or one of that regulatory body’s committees.

(2) The references in subsection (1)(b) to a court or regulatory body are to a court or such a body anywhere in the world.

(3) In a case falling within subsection (1)(a), the [F21 Primary Care Trust or] Health Authority must specify how long the period of suspension is to be.

(4) In a case falling within subsection (1)(b), the [F21 Primary Care Trust or] Health Authority may specify that the practitioner shall remain suspended after the decision referred to there for an additional period which the [F21 Primary Care Trust or] Health Authority must specify.

(5) In either case—

(a) before that period expires they may extend, or further extend, the suspension for a further specified period, or

(b) if that period has expired, they may impose a further suspension, for a period which they must specify.

(6) The period of suspension (in a subsection (1)(a) case) or the additional period (in a subsection (1)(b) case), including in both cases the period of any further suspension imposed under subsection (5)(b), may not exceed six months in aggregate, except—

(a) in prescribed circumstances, when it may not extend beyond any prescribed event (which may be the expiry of a prescribed period),

(b) if, on the application of the [F21 Primary Care Trust or] Health Authority, the FHSAA orders accordingly before the expiry of the period of suspension, or

(c) if the [F21 Primary Care Trust or] Health Authority have applied under paragraph (b) before the expiry of the period of suspension, but the FHSAA has not made an order by the time it expires, in which case it continues until the FHSAA has made an order.

(7) If the FHSAA does so order, it shall specify—

(a) the date on which the period of suspension is to end, or

(b) an event beyond which it is not to continue.

(8) The FHSAA may, on the application of the [F21 Primary Care Trust or] Health Authority, make a further order (complying with subsection (7)) at any time while the period of suspension pursuant to the earlier order is still continuing.

(9) The Secretary of State may make regulations providing for payments to practitioners who are suspended.

(10) Those regulations may include provision for the amount of the payments, or the method of calculating the amount, to be determined by the Secretary of State or by another person appointed for the purpose by the Secretary of State.]

Textual Amendments

F20 S. 49I inserted (22.11.2001 for certain purposes for E., 14.12.2001 for all other purposes (except those relating to the provision of pharmaceutical services under the 1977 Act) for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(2), Sch. 1 Pt. II; S.I. 2002/1475, art. 2(1), Sch. Pt. 1

F21 Words in s. 49I inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 21(c); S.I. 2002/2478, art. 3(1)(d)

[F22 49J Suspension pending appeal E+W+S

(1) This section applies if the [F23 Primary Care Trust or] Health Authority decide to remove a practitioner from a list under section 49F.

(2) In such a case they may also decide to suspend the practitioner from the list pending any appeal by him, if they are satisfied that it is necessary to do so for the protection of members of the public or is otherwise in the public interest.

(3) If they do suspend the practitioner under this section, the suspension has effect from the date when the [F23 Primary Care Trust or] Health Authority gave him notice of the suspension.

(4) The suspension has effect until its revocation under subsection (5) or (6) or, if later, until the expiry of the period of 28 days referred to in section 49M(1) below, or, if the practitioner appeals under section 49M, until the FHSAA has disposed of the appeal.

(5) The [F23 Primary Care Trust or] Health Authority may revoke a suspension imposed under this section.

(6) If the practitioner appeals under section 49M against the [F24 decision of the Primary Care Trust or of the Health Authority] to remove him from the list, the FHSAA may also revoke a suspension imposed on him under this section.

(7) Subsections (9) and (10) of section 49I above apply for the purposes of this section as they apply for the purposes of that.]

Textual Amendments

F22 S. 49J inserted (14.12.2001 for E. for all purposes except those relating to the provision of pharmaceutical services under the 1977 Act and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(3), Sch. 1 Pt. III; S.I. 2002/1475, art. 2(1), Sch. Pt. 1

F23 Words in s. 49J inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 22(a); S.I. 2002/2478, art. 3(1)(d)

F24 Words in s. 49J(6) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 22(b); S.I. 2002/2478, art. 3(1)(d)

[F25 49K Effect of suspension E+W+S

While a practitioner is suspended (whether under section 49I or under section 49J above) he is to be treated as not being included in the list from which he has been suspended even though his name appears in it.]

Textual Amendments

F25 S. 49K inserted (14.12.2001 for E. for all purposes except those relating to the provision of pharmaceutical services under the 1977 Act and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(3), Sch. 1 Pt. III; S.I. 2002/1475, art. 2(1), Sch. Pt. 1

[F26 49L Review of decisions E+W+S

(1) The [F27 Primary Care Trust or] Health Authority may, and (except in prescribed cases) if requested in writing to do so by the practitioner must, review a contingent removal or a suspension (other than a contingent removal or a suspension imposed by, or a suspension continuing pursuant to, an order of the FHSAA, or a suspension imposed under section 49J above).

(2) The practitioner may not request a review before the expiry of the period of—

(a) three months beginning with the date of the [F28 decision of the Primary Care Trust or of the Health Authority] to suspend or contingently remove him, or (as appropriate),

(b) six months beginning with the date of their decision on the previous review.

(3) On such a review, the [F29 Primary Care Trust or] Health Authority may—

(a) confirm the contingent removal or the suspension,

(b) in the case of a suspension, terminate it,

(c) in the case of a contingent removal, vary the conditions, impose different conditions, revoke the contingent removal, or remove the practitioner from the list.]

Textual Amendments

F26 S. 49L inserted (22.11.2001 for certain purposes for E., 14.12.2001 for all other purposes (except those relating to the provision of pharmaceutical services under the 1977 Act) for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(2), Sch. 1 Pt. II; S.I. 2002/1475, art. 2(1)

F27 Words in s. 49L(1) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 23(a); S.I. 2002/2478, art. 3(1)(d)

F28 Words in s. 49L(2) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 23(b); S.I. 2002/2478, art. 3(1)(d)

F29 Words in s. 49L(3) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 23(a); S.I. 2002/2478, art. 3(1)(d)

[F30 49M Appeals E+W+S

(1) A practitioner may appeal to the FHSAA against a decision of a [F31 Primary Care Trust or] Health Authority mentioned in subsection (2) by giving notice in writing to the FHSAA within the period of 28 days beginning with the date on which the [F31 Primary Care Trust or] Health Authority gave him notice of the decision.

(2) The [F31 Primary Care Trust or] Health Authority decisions in question are—

(a) to remove the practitioner from a list (under section 49F or 49G(3) or under subsection (5)(b) of this section),

(b) to remove him contingently (under section 49G),

(c) to impose any particular condition under section 49G, or to vary any condition or to impose any different condition under that section,

(d) to vary his terms of service (under section 49G(4)),

(e) any decision on a review of a contingent removal under section 49L.

(3) The appeal shall be by way of redetermination of the [F32 decision of the Primary Care Trust or of the Health Authority] .

(4) On an appeal, the FHSAA may make any decision which the [F31 Primary Care Trust or] Health Authority could have made.

(5) If the FHSAA decides to remove the practitioner contingently—

(a) the [F31 Primary Care Trust or] Health Authority and the practitioner may each apply to the FHSAA for the conditions imposed on the practitioner to be varied, for different conditions to be imposed, or for the contingent removal to be revoked, and

(b) the [F31 Primary Care Trust or] Health Authority may remove him from their list if they determine that he has failed to comply with a condition.

(6) The [F31 Primary Care Trust or] Health Authority shall not remove a person from a list, or impose a contingent removal—

(a) until the expiry of the period of 28 days referred to in subsection (1), or

(b) if the practitioner appeals within that period, until the FHSAA has disposed of the appeal.

(7) Regulations may provide for payments by [F33 Primary Care Trusts and] Health Authorities to practitioners who are removed from lists pursuant to decisions of the FHSAA under this section, but whose appeals against those decisions are successful.]

Textual Amendments

F30 S. 49M inserted (22.11.2001 for certain purposes for E., 14.12.2001 for all other purposes (except those relating to the provision of pharmaceutical services under the 1977 Act) for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(2), Sch. 1 Pt. II; S.I. 2002/1475, art. 2(1)

F31 Words in s. 49M inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 24(a); S.I. 2002/2478, art. 3(1)(d)

F32 Words in s. 49M(3) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 24(b); S.I. 2002/2478, art. 3(1)(d)

F33 Words in s. 49M(7) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 24(c); S.I. 2002/2478, art. 3(1)(d)

[F34 49N National disqualification E+W+S

(1) If the FHSAA removes the practitioner from a list, it may also decide to disqualify him from inclusion in—

(a) all lists referred to in section 49F(1)(a) to (e) prepared by [F35 all Primary Care Trusts and] all Health Authorities,

(b) all supplementary lists prepared by [F35 all Primary Care Trusts and] all Health Authorities, and

(c) all services lists prepared by [F35 all Primary Care Trusts and] all Health Authorities under section 28DA above or under section 8ZA of the National Health Service (Primary Care) Act 1997 (c. 46), or any list corresponding to a services list prepared by [F36 any Primary Care Trust or] any Health Authority by virtue of regulations made under section 41 of the Health and Social Care Act 2001,

or only from inclusion in one or more descriptions of such lists prepared by [F35 all Primary Care Trusts and] all Health Authorities, the description being specified by the FHSAA in its decision.

(2) A decision by the FHSAA to do what is mentioned in subsection (1) is referred to in this section as the imposition of a national disqualification.

(3) The FHSAA may also impose a national disqualification on a practitioner if it dismisses an appeal by him against [F37 the refusal by a Primary Care Trust or Health Authority] to include him in such a list (or, in the case of a medical list, to nominate or approve him for inclusion in it).

(4) The [F38 Primary Care Trust or] Health Authority may apply to the FHSAA for a national disqualification to be imposed on a person after they have—

(a) removed him from a list of theirs of any of the kinds referred to in subsection (1)(a) to (c), or

(b) refused to include him in such a list (or, in the case of a medical list, to nominate or approve him for inclusion in it).

(5) Any such application must be made before the end of the period of three months beginning with the date of the removal or of their refusal.

(6) If the FHSAA imposes a national disqualification on a person—

(a) no [F39 Primary Care Trust or]Health Authority may include him in a list of any of the kinds from which he has been disqualified from inclusion prepared by them, and

(b) if he is included in such a list, [F40 each Primary Care Trust and] each Health Authority in whose list he is included must remove him from it.

(7) The FHSAA may at the request of the person upon whom it has been imposed review a national disqualification, and on a review may confirm it or revoke it.

(8) Subject to subsection (9), the person may not request such a review before the end of the period of—

(a) two years beginning with the date on which the national disqualification was imposed, or

(b) one year beginning with the date of the FHSAA’s decision on the last such review.

(9) The Secretary of State may provide in regulations for subsection (8) to have effect in prescribed circumstances as if the reference there to “two years” or “one year” were a reference to a different period specified in the regulations.]

Textual Amendments

F34 S. 49N inserted (22.11.2001 for certain purposes for E., 14.12.2001 for all other purposes (except those relating to the provision of pharmaceutical services under the 1977 Act) for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(2), Sch. 1 Pt. II; S.I. 2002/1475, art. 2(1) Sch. Pt. 1

F35 Words in s. 49N(1) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 25(2)(a); S.I. 2002/2478, art. 3(1)(d)

F36 Words in s. 49N(1)(c) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 25(2)(b); S.I. 2002/2478, art. 3(1)(d)

F37 Words in s. 49N(3) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 25(3); S.I. 2002/2478, art. 3(1)(d)

F38 Words in s. 49N(4) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 25(4); S.I. 2002/2478, art. 3(1)(d)

F39 Words in s. 49N(6)(a) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 25(5)(a); S.I. 2002/2478, art. 3(1)(d)

F40 Words in s. 49N(6)(b) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 25(5)(b); S.I. 2002/2478, art. 3(1)(d)

Modifications etc. (not altering text)

C5 S. 49N(8) modified (W.) (26.8.2002) by S.I. 1992/635, reg. 7H (as inserted (26.8.2002) by The National Health Service (General Medical Services) (Amendment) (Wales) (No. 2) Regulations 2002 (S.I. 2002/1896), reg. 5)

[F41 49O Notification of decisions E+W+S

Regulations may require a [F42 Primary Care Trust or] Health Authority to notify prescribed persons, or persons of prescribed descriptions, of any decision they make under this group of sections, and of any information relevant to the decision which they consider it appropriate to include in the notification.]

Textual Amendments

F41 S. 49O inserted (22.11.2001 for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(1), Sch. 1 Pt. I; S.I. 2002/1475, art. 2(1)

F42 Words in s. 49O inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 26; S.I. 2002/2478, art. 3(1)(d)

[F43 49P Withdrawal from lists E+W+S

Regulations may provide for circumstances in which a practitioner—

(a) whom a [F44 Primary Care Trust or] Health Authority are investigating in order to see whether there are grounds for exercising their powers under section 49F, 49G or 49I,

(b) whom a [F44 Primary Care Trust or] Health Authority have decided to remove from a list under section 49F or 49G, or contingently remove under section 49G, but who has not yet been removed or contingently removed, or

(c) who has been suspended under section 49I,

may not withdraw from a list in which he is included.]

Textual Amendments

F43 S. 49P inserted (22.11.2001 for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(1), Sch. 1 Pt. I; S.I. 2002/1475, art. 2(1)

F44 Words in s. 49P inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 27; S.I. 2002/2478, art. 3(1)(d)

[F45 49Q Regulations E+W+S

(1) Any decision by a [F46 Primary Care Trust or] Health Authority referred to in this group of sections shall be reached in accordance with regulations made by the Secretary of State about such decisions.

(2) The regulations shall include provision—

(a) requiring the practitioner to be given notice of any allegation against him,

(b) giving him the opportunity of putting his case at a hearing before a [F47 Primary Care Trust or] Health Authoriy make any decision affecting him under this group of sections,

(c) requiring him to be given notice of the [F48 decision of the Primary Care Trust or of the Health Authority] and the reasons for it and of any right of appeal which he may have.

(3) The regulations may, in particular, make provision as to criteria which the [F49 Primary Care Trust or] Health Authority must apply when making decisions in unsuitability cases.]

Textual Amendments

F45 S. 49Q inserted (22.11.2001 for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(1), Sch. 1 Pt. I; S.I. 2002/1475, art. 2(1)

F46 Words in s. 49Q(1) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 28(2); S.I. 2002/2478, art. 3(1)(d)

F47 Words in s. 49Q(2)(b) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 28(3)(a); S.I. 2002/2478, art. 3(1)(d)

F48 Words in s. 49Q(2)(c) substituted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 28(3)(b); S.I. 2002/2478, art. 3(1)(d)

F49 Words in s. 49Q(3) inserted (1.10.2002) by National Health Service Reform and Health Care Professions Act 2002 (c. 17), ss. 2(5), 42(3), Sch. 2 Pt. 1 para. 28(4); S.I. 2002/2478, art. 3(1)(d)

[F50 49R Corresponding provision in Scotland and Northern Ireland E+W+S

(1) This section applies where it appears to the Secretary of State that there is provision in Scotland or Northern Ireland under which a person may be dealt with in any way which corresponds (whether or not exactly) with a way in which a person may be dealt with under this group of sections.

(2) A decision in Scotland or Northern Ireland to deal with such a person in such a way is referred to in this section as a “corresponding decision”.

(3) If this section applies, the Secretary of State may make regulations providing for the effect to be given in England and Wales to a corresponding decision.

(4) That effect need not be the same as the effect of the decision in the place where it was made.

(5) The regulations may not provide for a corresponding decision to be reviewed or revoked in England and Wales.]

Textual Amendments

F50 S. 49R inserted (22.11.2001 for E. and 1.7.2002 for W.) by 2001 c. 15, ss. 25, 70(2) (with ss. 64(9), 65(4)); S.I. 2001/3738, art. 2(1), Sch. 1 Pt. I; S.I. 2002/1475, art. 2(1)