National Health Service and Community Care Act 1990

Part IE+W+S The National Health Service: England and Wales

Local managementE+W

1 Regional and District Health Authorities.E+W

F1(1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F1(2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(3)F2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F1(4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F1(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F32. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E+W

3 Primary and other functions of health authorities etc. and exercise of functions.E+W

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

4 NHS contracts.E+W

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

[F64A Provision of certain services under NHS contracts.E+W

[F7(1)This section applies to any arrangement under which [F8a Strategic Health Authority,][F9a Primary Care Trust,] a Health Authority or such other health service body as may be prescribed arrange for the provision to them—

(a)by a person on an ophthalmic list, F10. . .

[F11(aa)by a contractor under a general ophthalmic services contract, or]

(b)by a person on a pharmaceutical list,

of goods or services that they reasonably require for the purposes of functions which they are exercising under Part I of the principal Act [F12other than under section 16CD of that Act].

(2)Any such arrangement is to be treated as an NHS contract for the purposes of section 4 (other than subsections (4) and (6)).

(3)In this section—

• [F13“general ophthalmic services contract” and “contractor” under such a contract have the meanings given by section 28WA of the principal Act;]

• “health service body” means a body which is a health service body for the purposes of section 4;

• “ophthalmic list” means a list published in accordance with regulations made under—

  (a)

  section [F1439(1)(a)] of the principal Act;

  (b)

  section 26(2)(a) of the M1National Health Service (Scotland) Act 1978; or

  (c)

  Article 62(2)(a) of the M2Health and Personal Social Services (Northern Ireland) Order 1972; and

• “pharmaceutical list” means a list published in accordance with regulations made under—

  (a)

  section 42(2)(a) of the principal Act;

  (b)

  section 27(2) of the National Health Service (Scotland) Act 1978; or

  (c)

  Article 63(2A)(a) of the 1972 Order.

[F15(4)In subsection (3), in paragraph (b) of the definition of “ophthalmic list” the reference to a list published in accordance with regulations made under paragraph (a) of section 26(2) of the National Health Service (Scotland) Act 1978 is a reference to the first part of the list (referred to in sub-paragraph (i) of that paragraph) which is published in accordance with regulations under that paragraph.]]]

National Health Service trustsE+W

5 NHS trusts.E+W

F16. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6 Transfer of staff to NHS trusts.E+W

F17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7 Supplementary provisions as to transfer of staff.E+W

F18. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8 Transfer of property, rights and liabilities to NHS trust.E+W

F19. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 Originating capital debt of, and other financial provisions relating to NHS trusts.E+W

F20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10 Financial obligations of NHS trusts.E+W

F21. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11 Trust funds and trustees for NHS trusts.E+W

F22. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Family Health Services AuthoritiesE+W

12 Functions of Family Health Services Authorities.E+W

F23. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F2413. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E+W

Fund-holding practicesE+W+S

F2514

• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[F2615 Payments to recognised fund-holding practices.E+W+S

F26(1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F27(2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F26(3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[F28(4)In any case where—

(a)a Health Authority make a payment of, or of any part of, an allotted sum to the members of a recognised fund-holding practice, and

(b)some of the individuals on the list of patients of any of the members of the practice reside in the area of another Health Authority, or in the area of a Health Board,

the Health Authority making the payment shall be entitled to recover from that other Health Authority, or from that Health Board, an amount equal to such portion of the payment as may be determined in accordance with directions given by the Secretary of State.]

(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F26(6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F26(7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F27(8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F26(9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F26(10). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .]

F2916

• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F3017

• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Indicative amountsE+W

[F3118 Indicative amounts for doctors’ practices.E+W

(1)Subject to [F32subsections (2) and (8)] below, for each financial year, [F33every Primary Care Trust and] every [F34Local Health Board] shall, by notice in writing given to each practice in relation to the members of which it is the relevant [F35Primary Care Trust or][F34Local Health Board], specify an amount of money (in this Act referred to as an “indicative amount”) representing the basic price of the drugs, medicines and listed appliances which, in the opinion of the [F35Primary Care Trust or][F34Local Health Board], it is reasonable to expect will be supplied in that year pursuant to orders given by or on behalf of the members of that practice.

(2)Subsection (1) above does not apply with respect to a practice which is or forms part of a fund-holding practice recognised under section 14 above.

(3)For the purposes of this section, a “practice” means—

[F36(a)a person or body who has entered into a contract under section 28Q of the principal Act, otherwise than in partnership; or

(b)two or more individuals practising in partnership who together have entered into such a contract,]

and any reference to the members of a practice shall be construed accordingly.

(4)The members of a practice shall seek to secure that, except with the consent of the relevant [F37Primary Care Trust or][F38Local Health Board] or for good cause, the orders for drugs, medicines and listed appliances given by them or on their behalf are such that the basic price of the items supplied pursuant to those orders in any financial year does not exceed the indicative amount notified to the practice for that year under subsection (1) above.

(5)For the purpose of measuring the extent to which a practice is operating within the indicative amount notified to it under subsection (1) above for any financial year, a [F37Primary Care Trust or][F38Local Health Board] shall set against that indicative amount an amount equal to the basic price of the drugs, medicines and listed appliances supplied in that year pursuant to orders given by or on behalf of members of the practice.

(6)For the purposes of this section, regulations may make provision as to the specification of, or means of calculating, the basic price of any drugs, medicines or listed appliances.

(7)F39. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[F40(8)This section does not apply in relation to the performance or provision of personal medical services in accordance with arrangements made under section 28C of the principal Act.]

[F41(9)In this section, references to the “relevant” Primary Care Trust or Local Health Board, in relation to a practice, are to the Primary Care Trust or Local Health Board with which it has entered into a contract under section 28Q of the principal Act.]]

Funding, audit and liabilitiesE+W

F4219. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E+W

20 Extension of functions etc. of Audit Commission to cover the health service.E+W

F43(1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(2)In section 98 of the principal Act (accounts and audit),—

(a)in subsection (1), in the words following paragraph (e) for the words from “appointed” to “Comptroller” there shall be substituted “appointed by the Audit Commission for Local Authorities and the National Health Service in England and Wales and the Comptroller”;

F44(b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F45(c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F45(d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F43(3). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F43(4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F43(5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F43(6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F43(7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F43(8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

21 Schemes for meeting losses and liabilities etc. of certain health service bodies.E+W

F46. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Further amendments of the principal ActE+W

22 The Medical Practices Committee.E+W

23 Distribution of general medical services.E+W

F47. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

24 Limitations on right to be included on list of dental practitioners.E+W

F48. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

25 Transfer to DHA of certain functions relating to private patients.E+W

F49. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

InterpretationE+W

26 Interpretation of Part I.E+W

F50. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .