National Health Service (Functions of Strategic Health Authorities and Primary Care Trusts and Administration Arrangements) (England) Regulations 2002
2002 No. 2375
NATIONAL HEALTH SERVICE, ENGLAND
The National Health Service (Functions of Strategic Health Authorities and Primary Care Trusts and Administration Arrangements) (England) Regulations 2002
Made 17th September 2002
Laid before Parliament 17th September 2002
Coming into force 1st October 2002
The Secretary of State for Health, in exercise of the powers conferred on him by section 63(5A) of the Health Services and Public Health Act 19681, and sections 16, 16B, 16D, 17, 17A(4),18, 51(2) and 126 of the National Health Service Act 19772, and of all other powers enabling him in that behalf, hereby makes the following Regulations:
Citation, commencement and application
1.—(1) These Regulations may be cited as the National Health Service (Functions of Strategic Health Authorities and Primary Care Trusts and Administration Arrangements) (England) Regulations 2002 and shall come into force on 1st October 2002.
(2) These Regulations apply only in relation to Strategic Health Authorities and Primary Care Trusts established for areas in England.
Interpretation
2.—(1) In these Regulations—
“the Act” means the National Health Service Act 1977;
“the 1990 Act” means the National Health Service and Community Care Act 19903;
“the 1997 Act” means the National Health Service (Primary Care) Act 19974;
“the 2002 Act” means the National Health Service Reform and Health Care Professions Act 20025;
“AIDS” means Acquired Immune Deficiency Syndrome;
“appropriate Strategic Health Authority” means—
(a) in relation to a Primary Care Trust, the Strategic Health Authority whose area includes any part of the area of that Primary Care Trust;
(b) in relation to an NHS trust (other than a trust responsible for providing ambulance services), the Strategic Health Authority in whose area all or most of the hospitals, establishments or facilities of the trust are situated; and
(c) in relation to an NHS trust responsible for providing ambulance services, the Strategic Health Authority in whose area the Headquarters establishment responsible for control of those services is situated;
“financial year” means the period of 12 months ending with 31st March;
“the Health Act” means the Health Act 19996;
“the Health and Social Care Act” means the Health and Social Care Act 20017;
“HIV” means Human Immunodeficiency Virus;
“LIFT” means a Local Improvement Finance Trust approved by the Secretary of State for the purposes of improving primary care facilities and services in a particular area and “LIFT company” means a Local Improvement Finance Trust company established to deliver the improvements in that area;
“practice patient” means—
(a) in relation to a medical practitioner who practises otherwise than in partnership, an individual who is on that practitioner’s list of patients (or, if that practitioner and one or more other medical practitioners together have a single list of patients in connection with a pilot scheme under the 1997 Act8, an individual who is on that single list);
(b) in relation to a medical practitioner who is one of two or more practitioners who practise in partnership with each other, an individual who is on the list of patients of any of those practitioners (or, if any of those practitioners together have a single list of patients in connection with a pilot scheme under the 1997 Act, an individual who is on that single list),
other than an individual who is resident in Scotland;
“population screening programme” means a programme for testing a particular class of persons for the purpose of detecting whether those persons have a particular illness or are at risk of contracting such an illness;
“the relevant date” means—
(a) 1st April in the financial year preceding the financial year in which the relevant Primary Care Trust falls to be determined;
(b) in the case of a practitioner providing general medical services and who practises otherwise than in partnership, the date on which he first entered the Primary Care Trust’s medical list;
(c) in the case of a practitioner providing general medical services who is one of two or more practitioners who practise in partnership with each other, the earliest date on which any one of those practitioners entered the Primary Care Trust’s medical list;
(d) in the case of a practitioner performing personal medical services in connection with a pilot scheme under the 1997 Act, the date on which services were first performed under that scheme,
whichever is the latest;
“the relevant Primary Care Trust” means—
(a) in relation to a medical practitioner—
(i) who provides general medical services under Part 2 of the Act and does not perform personal medical services in connection with a pilot scheme,
(ii) whose name is included in the medical list of only one Primary Care Trust, and
(iii) who practises on his own or in partnership with others all of whom are medical practitioners who provide general medical services under Part 2 of the Act and do not perform personal medical services in connection with a pilot scheme and whose names are included only in that trust’s medical list,
that trust;
(b) in relation to any other medical practitioner, the Primary Care Trust in whose area, on the relevant date, most of the practice patients at that date were living;
“research ethics committee” means a committee established to advise on the ethics of research investigations on human beings and recognised for that purpose by or on behalf of the Secretary of State;
“specialised services” means services which are, or are to be, planned, and the provision of which is, or is to be, arranged, by Primary Care Trusts acting jointly or by a joint committee of Primary Care Trusts on behalf of a population of 1 million or more but does not include high security psychiatric services provided under section 4 of the Act;
“walk-in centre” means a centre at which information and treatment for minor conditions is provided to the public under arrangements made by or on behalf of the Secretary of State.
(2) In these Regulations—
(a)
(a) any reference to a Special Health Authority is to be construed as a reference to a Special Health Authority exercising functions in respect of England;
(b)
(b) subject to sub-paragraph (c), any reference to an NHS trust is to be construed as a reference to an NHS trust, all or most of whose hospitals, establishments or facilities are situated in England; and
(c)
(c) in regulations 9(4) and (5) and 10(5) and (6), any reference to an NHS trust is to be construed as a reference to an NHS trust whose hospitals, establishments and facilities are situated in either or both of England and Wales.
Functions of the Secretary of State exercisable by Strategic Health Authorities and Primary Care Trusts
3.—(1) Subject to regulations 6 and 8, the Secretary of State’s functions relating to the health service under the enactments specified in column (1) of Part 1 of Schedule 1 (the subject matter of the relevant functions being indicated in column (2) of that Schedule) are to be exercisable by both Strategic Health Authorities and Primary Care Trusts.
(2) Subject to regulations 6 and 8, the Secretary of State’s functions relating to the health service under the enactments specified in column (1) of Part 2 of Schedule 1 (the subject matter of the relevant functions being indicated in column (2) of that Schedule) are to be exercisable by—
(a)
(a) Primary Care Trusts; and
(b)
(b) Strategic Health Authorities but only to the extent necessary to support and manage the performance of Primary Care Trusts in the exercise of those functions.
(3) Subject to regulations 6 and 7, the Secretary of State’s functions relating to the health service under the enactments specified in column (1) of Schedule 2 (the subject matter of the relevant functions being indicated in column (2) of that Schedule) are to be exercisable by Strategic Health Authorities.
(4) In exercising the functions referred to in paragraphs (1) to (3), Strategic Health Authorities and Primary Care Trusts shall have regard to the NHS Plan published in July 20009.
(5) Every Strategic Health Authority shall exercise the functions referred to in paragraphs (1) to (3) for the benefit of its area or to secure the effective provision of services by Primary Care Trusts and NHS trusts for which they are the appropriate Strategic Health Authority.
(6) Nothing in paragraph (5) limits the area in relation to which an approval of a medical practitioner for the purposes of section 12(2) of the Mental Health Act 198310(approval of medical specialists) given by a Strategic Health Authority shall have effect.
(7) Every Primary Care Trust shall exercise the functions referred to in paragraphs (1) and (2)—
(a)
(a) in so far as those functions consist of providing or securing the provision of services to patients, other than the services referred to in sub-paragraph (b) of this paragraph, for the benefit of—
(i) the practice patients of medical practitioners providing general medical services under the Act, or performing personal medical services in connection with a pilot scheme under the 1997 Act, in respect of whom the Primary Care Trust is the relevant Primary Care Trust; and
(ii) persons usually resident in its area, or resident outside the United Kingdom who are present in its area, and who are not practice patients of any medical practitioner providing general medical services under the Act or performing personal medical services in connection with a pilot scheme under the 1997 Act;
(b)
(b) in so far as those functions consist of providing or securing the provision of—
(i) accident and emergency services and ambulance services,
(ii) services provided at walk-in centres,
(iii) facilities and services for testing for, and preventing the spread of, genito-urinary...
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