Welsh Statutory Instrument SI 2023/953 United Kingdom

The National Health Service (General Medical Services Contracts) (Wales) Regulations 2023

Read it on legislation.gov.uk (opens in a new tab)
Status
In Force
Penalty ceiling
Regulated

Does it bind you?

Business-side roles with duties under this instrument.

Contractor94 Any Person6 Self-Employed Person1 Trader1

Plus 10 duties on the regulator, Crown ministers and public bodies — folded into the section list below.

Other Acts binding the same actors

If a role above is yours, these are the other instruments that most often bind it.

Contractor — also bound by 173 other Acts
Any Person — also bound by 2340 other Acts
Self-Employed Person — also bound by 80 other Acts
Trader — also bound by 825 other Acts
Companies Act 2006 243 duties
Companies Act 1985 85 duties

What it requires

Regulations creating concrete business duties or carrying penalties, grouped as the instrument is structured. Titles link to the source text — blue means you’re leaving for legislation.gov.uk.

s.005 Conditions relating solely to medical practitioners Regulated
Other duties (1) — Crown / regulator
  • Local Health Board must verify GP composition of contract partiesLocal authority
s.021 Fees, charges and financial interests Regulated
  • Do not charge patients for NHS treatment, prescriptions, or certain evidence formsContractor
s.024 Dataset and business rules Regulated
Other duties (1) — Crown / regulator
  • Health boards must require contractors to provide data under business rulesCrown / Minister / Government department
s.028 Termination of a contract Regulated
  • Handle contract termination: cease work, cooperate, transfer patients, return property, and pay any sums dueContractor
29 other provisions — procedural and definitional
s.001 Title and commencement
s.002 Application
s.003 Interpretation
s.004 Conditions: general
s.006 General condition relating to all contracts
s.007 Notice of conditions not being met and reasons
s.008 Right of appeal
s.009 Pre-contract disputes
s.010 Health service body status: election
s.011 Health service body status: variation of contracts
s.012 Cessation of health service body status
s.013 Parties to the contract
s.014 Health service contract
s.015 Contracts with individuals practising in partnership
s.016 Duration
s.017 Unified services
s.018 Services: general
s.019 Certificates
s.020 Finance
s.022 Circumstances in which fees and charges may be made
s.023 Activity and Appointment Data
s.025 Contract assurance
s.026 Sub-contracting
s.027 Variation of contracts
s.029 Other contractual terms
s.030 (1) The functions of a Local Medical Committee which are...
s.031 General transitional provision and saving
s.032 Consequential amendments
s.033 Revocations
Schedules

Schedules

108 of 154 shown
s.sch002 Cervical screening services Regulated
  • Provide cervical screening services and keep accurate recordsContractor
s.sch002 Child health surveillance services Regulated
  • Provide child health surveillance services for children under 5Contractor
s.sch002 Childhood vaccinations and immunisations services Regulated
  • Provide childhood vaccination and immunisation servicesContractor
s.sch002 Contraceptive services Regulated
  • Provide contraceptive services to patients who request themContractor
s.sch002 Maternity medical services Regulated
  • Provide maternity medical services and refer patients if you have conscientious objectionContractor
s.sch002 Minor surgery Regulated
  • Provide cryocautery, curettage and cautery for skin lesions and keep recordsContractor
s.sch002 Vaccinations and immunisations Regulated
  • Offer vaccinations and immunisations to patientsContractor
s.sch003 Premises, facilities and equipment Regulated
  • Ensure premises, facilities and equipment meet required standardsContractor
s.sch003 Clinical reports Regulated
  • Send clinical report to Local Health Board when treating non-registered patientsContractor
s.sch003 Entry and Inspection by the Local Health Board Regulated
  • You must allow Local Health Board inspections of your practice premisesContractor
s.sch003 Concerns and complaints Regulated
  • Set up a complaints system that meets legal standardsContractor
s.sch003 Co-operation with investigations Regulated
  • Co-operate with NHS complaint and concern investigationsContractor
s.sch003 Provision of information about complaints Regulated
  • Report number of complaints to Local Health Board as requiredContractor
s.sch003 Local resolution of contract disputes Regulated
  • Cooperate and communicate to resolve contract disputes locally firstContractor
s.sch003 NHS dispute resolution procedure Regulated
Other duties (1) — Crown / regulator
  • Welsh Ministers must manage NHS contract disputes under a defined procedureCrown / Minister / Government department
s.sch003 Variation of a contract: general Regulated
Other duties (1) — Crown / regulator
  • Local Health Board may vary your contract without consent for legal complianceLocal authority
s.sch003 Storage of vaccines Regulated
  • Store vaccines according to manufacturer’s instructions and monitor fridge temperaturesContractor
s.sch003 Variation provisions specific to a contract with an individual medical practitioner Regulated
  • Notify Local Health Board before changing from individual to partnership practiceContractor
s.sch003 Variation provisions specific to a contract with two or more individuals practising in partnership Regulated
  • Notify your Local Health Board if your GP partnership dissolvesContractor
s.sch003 Infection control Regulated
  • Put in place appropriate infection control and decontamination arrangementsContractor
s.sch003 Termination by the Local Health Board: remedial notices and breach notices Regulated
Other duties (1) — Crown / regulator
  • Serve remedial notice with minimum 28-day period for remediable breachesLocal authority
s.sch003 Contract sanctions Regulated
Other duties (1) — Crown / regulator
  • Local Health Board may impose contract sanctions before terminationStatutory regulator
s.sch003 Contract sanctions and the NHS dispute resolution procedure Regulated
Other duties (1) — Crown / regulator
  • Local Health Board must not impose contract sanction during dispute unless specific conditions metLocal authority
s.sch003 Clinical governance Regulated
  • Implement and maintain a clinical governance system for controlled drugsContractor
s.sch003 Co-operation with Health Education and Improvement Wales Regulated
  • Co-operate with Health Education and Improvement Wales (HEIW) on workforce mattersContractor
s.sch003 Duty of co-operation in relation to supplementary services Regulated
  • Cooperate and share information on supplementary services you don't provideContractor
s.sch003 Insurance Regulated
  • Have and maintain appropriate clinical indemnity coverContractor
s.sch003 Public liability insurance Regulated
  • Hold adequate public liability insuranceContractor
s.sch003 Gifts Regulated
  • Keep a register of gifts over £100 from patients or service providersContractor
s.sch003 Bribery Act Regulated
  • Do not commit bribery or any prohibited act under the Bribery ActContractor
s.sch003 Advertising private services Regulated
  • Advertise private services separately from NHS servicesContractor
s.sch003 Compliance with legislation and guidance Regulated
  • Comply with all relevant legislation, guidance and codes of practiceContractor
s.sch003 Duty of co-operation in relation to out of hours services Regulated
  • Cooperate with out-of-hours services providerContractor
s.sch003 Duty of co-operation: cluster working Regulated
  • Co-operate with cluster working arrangementsContractor
s.sch003 Contribution to clusters and GP Collaboratives Regulated
  • Contribute to your GP cluster plan and collaborative workingContractor
s.sch003 Demand and capacity Regulated
  • Engage with your GP Collaborative on demand and capacity assessmentsContractor
s.sch003 Telephone services Regulated
  • Manage telephone services: avoid premium-rate numbers and staff lines during core hoursContractor
s.sch003 Cessation of service provision: information requests Regulated
  • Comply with information requests after ceasing a supplementary serviceContractor
s.sch003 Welsh Language Regulated
  • Comply with Welsh language requirements in providing medical servicesContractor
s.sch003 List of patients Regulated
  • Keep patient list accurate and provide data to Local Health Board on requestContractor
s.sch003 Application for inclusion in a list of patients Regulated
  • Accept patient applications without proof of ID or address, and notify LHBContractor
s.sch003 Inclusion in list of patients: armed forces personnel Regulated
  • Accept armed forces personnel onto your patient list and coordinate with Defence Medical ServicesContractor
s.sch003 Temporary residents Regulated
  • Accept temporary residents when list is open and criteria metContractor
s.sch003 Refusal of applications for inclusion in the list of patients or early termination of responsibility for temporary residents Regulated
  • Manage patient registration and temporary resident terminations fairlyContractor
s.sch003 Patient preference of practitioner Regulated
  • Record and accommodate patient preferences for a specific performerContractor
s.sch003 Removal from the list at the request of the patient Regulated
  • Notify Local Health Board when a patient asks to be removed from your listContractor
s.sch003 Removal from the list at the request of the contractor Regulated
  • Follow procedures for removing a patient from your listContractor
s.sch003 Cost of relevant calls Regulated
  • Ensure call costs to practice are no higher than geographic numbersContractor
s.sch003 Removals from the list of patients who are violent Regulated
  • Request removal of violent patients from your practice listContractor
s.sch003 Termination of responsibility for patients not registered with the contractor Regulated
  • Keep records of patient responsibility terminations and share with Local Health Board on requestContractor
s.sch003 Application for closure of list of patients Regulated
  • Apply to close your patient list with required detailsContractor
s.sch003 Approval of an application to close a list of patients Regulated
Other duties (1) — Crown / regulator
  • Local Health Board must notify contractor of patient list closure decisionLocal authority
s.sch003 Access Regulated
  • Provide accessible services including telephone, digital prescriptions, appointments, and signpostingContractor
s.sch003 Rejection of an application to close a list of patients Regulated
Other duties (1) — Crown / regulator
  • Local Health Board must notify contractor of rejected patient list closureLocal authority
s.sch003 Assignment to closed lists: NHS dispute resolution procedure relating to determinations of the assessment panel Regulated
Other duties (1) — Crown / regulator
  • Welsh Ministers must review and determine disputes about closed-list patient assignmentsCrown / Minister / Government department
s.sch003 Prescribing: general Regulated
  • Ensure prescription forms and home oxygen order forms comply with regulationsContractor
s.sch003 Orders for drugs, medicines and appliances Regulated
  • Order drugs, medicines and appliances using correct prescription methodSelf-Employed Person
s.sch003 Attendance at practice premises Regulated
  • Provide same-day care for walk-in patients during core hoursContractor
s.sch003 Electronic prescriptions Regulated
  • Follow rules for electronic prescriptions and issue EPS tokensAny Person
s.sch003 Nomination of dispensers for the purposes of electronic prescriptions Regulated
  • Handle patient requests to nominate a dispenser for electronic prescriptionsContractor
s.sch003 Repeatable prescriptions Regulated
  • Manage repeatable prescriptions correctlyAny Person
s.sch003 Prescribing for electronic repeat dispensing Regulated
  • Issue electronic repeat prescriptions in a format suitable for electronic repeat dispensingAny Person
s.sch003 Restrictions on prescribing by medical practitioners Regulated
  • Prescribing restrictions: what drugs, medicines and appliances you must not order on NHS prescriptionsTrader
s.sch003 Restrictions on prescribing by supplementary prescribers Regulated
  • Control prescribing and administration by supplementary prescribersContractor
s.sch003 Bulk prescribing Regulated
  • Bulk prescribe non-controlled drugs/inhalers for 10+ residents in an institutionAny Person
s.sch003 Excessive prescribing Regulated
  • Do not prescribe excessive quantities or costs of drugsContractor
s.sch003 Provision of drugs, medicines and appliances for immediate treatment or personal administration Regulated
  • Provide immediate treatment drugs and appliances within NHS contract termsContractor
s.sch003 Attendance outside practice premises Regulated
  • Attend patients outside practice premises when clinically necessaryContractor
s.sch003 Provision of dispensing services Regulated
  • Inform patients they can also get drugs from any NHS pharmacistContractor
s.sch003 Qualifications of performers: health care professionals Regulated
  • Health care professionals must be registered and not suspended to perform clinical servicesAny Person
s.sch003 Conditional registration or inclusion in primary care list Regulated
  • Comply with conditions on healthcare professionals' registration or GP list inclusionContractor
s.sch003 Clinical experience Regulated
  • Do not perform clinical services without necessary experience and trainingAny Person
s.sch003 Conditions for employment and engagement: medical practitioner Regulated
  • Verify medical practitioners' performers list registration before hiringContractor
s.sch003 Conditions for employment or engagement: health care professionals Regulated
  • Verify health care professionals’ qualifications and experience before hiringContractor
s.sch003 Clinical references Regulated
  • Obtain and check two clinical references before hiring a healthcare professionalContractor
s.sch003 Verification of qualifications and competence Regulated
  • Verify qualifications and competence of staff before hiringContractor
s.sch003 Training Regulated
  • Maintain staff training and skills for clinical servicesContractor
s.sch003 Newly registered patients Regulated
  • Invite newly registered patients for consultation within 6 months and complete health screeningContractor
s.sch003 Terms and conditions Regulated
  • Offer salaried GPs terms at least as favourable as the model contractContractor
s.sch003 Arrangements for GP Specialty Registrars Regulated
  • Do not reduce hours of other staff when employing a GP RegistrarContractor
s.sch003 Notice requirements in respect of relevant prescribers Regulated
  • Notify the Local Health Board when prescribers start or stop prescribingContractor
s.sch003 Signing of documents Regulated
  • Include clinical profession and contractor name on documentsContractor
s.sch003 Level of skill and compliance with pathways Regulated
  • Perform duties with reasonable skill and follow national condition pathwaysContractor
s.sch003 Appraisal and assessment Regulated
  • Ensure GPs participate in appraisal and cooperate on patient safetyContractor
s.sch003 Sub-contracting Regulated
  • Do not sub-contract clinical or patient-facing services without Local Health Board notification and approvalContractor
s.sch003 Patient records Regulated
  • Keep adequate patient records and manage transfersContractor
s.sch003 Welsh GP record Regulated
  • Enable automated retrieval of summary GP record data on patient record changesContractor
s.sch003 Patients not seen within 3 years Regulated
  • Provide a consultation to patients aged 16-75 not seen in 3 yearsContractor
s.sch003 Electronic transfer of patient records between GP practices Regulated
  • Use GP2GP to transfer patient records when patients join or leaveContractor
s.sch003 Clinical correspondence: requirement for NHS number Regulated
  • Include NHS number as primary identifier in clinical correspondenceContractor
s.sch003 Confidentiality of personal data: nominated person Regulated
  • Appoint a person responsible for personal data confidentialityContractor
s.sch003 Provision of information to patients Regulated
  • Provide and maintain patient information online and in leafletContractor
s.sch003 Provision of information (or access to information) at the request of the Local Health Board Regulated
  • Provide information requested by the Local Health BoardContractor
s.sch003 Clinical audits ... Regulated
  • Participate in clinical audits and share data with Digital Health and Care WalesContractor
s.sch003 Information relating to indicators no longer in the Quality Assurance and Improvement Framework Regulated
  • Allow LHB data extraction and maintain patient registersContractor
s.sch003 The Primary Care Workforce Intelligence System Regulated
  • Update and review workforce data in PCWIS monthlyContractor
s.sch003 General Practice Escalation Tool Regulated
  • Submit escalation data to the General Practice Escalation ToolContractor
s.sch003 Patients aged 75 years and over Regulated
  • Provide an annual consultation for patients aged 75 and overContractor
s.sch003 Medicines and Healthcare Products Regulatory Agency Central Alerting System Regulated
  • Maintain MHRA contact details and monitor alertsContractor
s.sch003 Inquiries about prescriptions and referrals Regulated
  • Answer Local Health Board inquiries about prescriptions and referralsContractor
s.sch003 Provision of information to a medical officer etc. Regulated
  • Provide clinical information and answer inquiries to medical officers etc. upon patient consentContractor
s.sch003 Annual return and formal review Regulated
  • Submit annual returns, respond to ad-hoc data requests, and attend annual performance reviewsContractor
s.sch003 Notifications to the Local Health Board Regulated
  • Notify Local Health Board of specified incidents, changes, and service provisionsContractor
s.sch003 Co-operation with the Local Health Board Regulated
  • Co-operate with Local Health Board on controlled drugs obligationsContractor
s.sch003 Notice provisions specific to a contract with a company limited by shares Regulated
  • Notify Local Health Board about share transfers, new directors or financial distressContractor
s.sch003 Notice provisions specific to a contract with two or more individuals practising in partnership Regulated
  • Notify Local Health Board of partnership changes immediatelyContractor
s.sch003 Notification of deaths Regulated
  • Report patient deaths on practice premises to Local Health Board within one working dayContractor
s.sch004 Information to be included on a practice’s online resource and written practice leaflet Regulated
  • Include mandatory information on your practice website and leafletContractor
46 other schedules
s.sch002 Learning disabilities services
s.sch002 For the purposes of paragraphs 1 to 7 “a patient’s...
s.sch003 Dispute resolution: non-NHS contracts
s.sch003 Determination of the dispute
s.sch003 Interpretation of this Part
s.sch003 Termination by agreement
s.sch003 Termination on the death of an individual medical practitioner
s.sch003 Termination by the contractor
s.sch003 Late payment notices
s.sch003 Termination by the Local Health Board: general
s.sch003 Termination by the Local Health Board for breach of conditions in regulation 5
s.sch003 Termination by the Local Health Board for the provision of untrue etc. information
s.sch003 Other grounds for termination by the Local Health Board
s.sch003 Termination by the Local Health Board where patients’ safety is seriously at risk or where there is risk of material financial loss to Local Health Board
s.sch003 Termination by the Local Health Board for unlawful sub-contracting
s.sch003 Termination by the Local Health Board: additional provisions specific to contracts with two or more individuals practising in partnership and companies limited by shares
s.sch003 Termination and the NHS dispute resolution procedure
s.sch003 Consultation with the Local Medical Committee
s.sch003 Third party rights
s.sch003 Covid Anti-viral treatments
s.sch003 Frailty Indexing
s.sch003 Ethnicity Recording
s.sch003 Welsh identity verification service (WIVS)
s.sch003 Membership of a cluster
s.sch003 Membership of a GP Collaborative
s.sch003 Removal from list if patient registered elsewhere
s.sch003 Removal from the list of patients who have moved
s.sch003 Removal from the list of patients whose address is unknown
s.sch003 Removal from the list of patients absent from the United Kingdom etc.
s.sch003 Removal from the list of patients accepted elsewhere as temporary residents
s.sch003 Removal from the list of pupils etc. of a school
s.sch003 Re-opening of list of patients
s.sch003 (1) This Part applies in respect of the assignment by...
s.sch003 Assignment of patients to list of patients: open and closed lists
s.sch003 Factors relevant to assignments
s.sch003 Assignments to closed lists: composition and determinations of the assessment panel
s.sch003 Assignments to closed lists: assignments of patients by the Local Health Board
s.sch003 Repeatable prescribing services
s.sch003 Qualifications of performers: medical practitioners
s.sch003 Withdrawal and variation of approval and right to subsequently object to a sub-contract under paragraph 76
s.sch003 Use of fax machines
s.sch003 Triennial Reviews
s.sch003 Notifications to patients following variation of the contract
s.sch005 (1) The National Health Service (Performers Lists) (Wales) Regulations 2004...
s.sch005 (1) The National Health Service (Pharmaceutical Services) (Wales) Regulations 2020...
s.sch006 The 2004 Regulations are revoked.

Duty extraction and severity labels are Guvnor’s analysis of the instrument, not the instrument itself. Always verify against the linked source text.