Title, commencement, application and interpretation

1.-(1) The title of these Regulations is the National Health Service (Performers Lists) (Wales) (Amendment) Regulations 2016.

(2) These Regulations come into force on 1 March 2016, and apply in relation to Wales.

(3) In these Regulations "the principal Regulations" means the National Health Service (Performers Lists) (Wales) Regulations 2004(2).

Amendment of regulation 2 of the principal Regulations

2.  In regulation 2(1), after the definition of "fraud case", insert -

""indemnity arrangement" means an arrangement which may comprise-

Amendment of regulation 4 of the principal Regulations

3.-(1) Regulation 4 of the principal Regulations is amended as follows.

(2) For regulation 4(1), substitute -

"(1) An application by a performer for inclusion in a performers list must be made by sending the Local Health Board an application in writing, including the information and documentation required by this regulation, and-

(a)in relation to application for inclusion in the medical performers list, satisfy the requirements of regulation 23; and

(b)in relation to an application for inclusion in the dental performers list, satisfy the requirements of regulation 30.".

(3) At the end of regulation 4(2)(i), omit "and".

(4) At the end of regulation 4(2)(j), for ".", substitute "; and".

(5) After regulation 4(2)(j), insert-

"(k)evidence that the performer has in force an appropriate indemnity arrangement which provides the performer with cover in respect of liabilities that may be incurred in carrying out the performer's services.".

(6) For regulation 4(3)(f), substitute -

"(f)an enhanced criminal record certificate under section 113B of the Police Act 1997 which includes suitability information relating to children and suitability information relating to vulnerable adults under sections 113BA and 113BB of that Act respectively;".

(7) At the end of regulation 4(3)(g), for ".", substitute "; and".

(8) After regulation 4(3)(g), insert-

"(h)an undertaking to maintain an appropriate indemnity arrangement which provides cover in respect of liabilities that may be incurred in carrying out work as a performer at all times and to provide evidence of such an indemnity arrangement to the Local Health Board on request".

(9) For regulation 4(4)(g), substitute-

"(g)is currently the subject of any proceedings which might lead to a conviction in the United Kingdom or elsewhere which have not been notified to the Local Health Board;".

Amendment of regulation 4A of the principal Regulations

4.-(1) Regulation 4A of the principal Regulations is amended as follows.

(2) For regulation 4A(1), substitute-

"(1) An application by a performer already included in a performers list held by a primary care organisation shall be made by sending the Local Health Board an application in writing, which must include the information, undertakings, consents and documentation required by this regulation, and-

(a)in relation to application for inclusion in the medical performers list, satisfy the requirements of regulation 23A; and

(b)in relation to an application for inclusion in the dental performers list, satisfy the requirements of regulation 30A.".

(3) For regulation 4A(2), substitute -

"(2) The performer shall provide the information as required by paragraphs (2)(a), (b), (c), (d), (g), (h), (i), (j) and (k) of regulation 4.".

(4) For regulation 4A(3), substitute -

"(3) The performer shall provide the information and undertakings as required by paragraphs (3)(a), (b), (c), (d), (e) and (h) of regulation 4.".

(5) For regulation 4A(4), substitute -

"(4) The performer shall provide an enhanced criminal record certificate as required by paragraph (3)(f) of regulation 4 unless:

(a)the performer is registered with the Disclosure and Barring Service Update Service and has provided all necessary authority and information to allow the Local Health Board to view the performer's online Disclosure and Barring Service certificate status at any time, and an undertaking that if the Local Health Board's Disclosure and Barring Service status check indicates that the performer's enhanced criminal record certificate is no longer current, that the performer will provide the Local Health Board with a new enhanced criminal record certificate under section 113B of the Police Act 1997; or

(b)the performer has provided a certificate to the primary care organisation with which he or she is listed which is dated within three years immediately preceding the date upon which the performer makes the application under this regulation to the Local Health Board, in which case the performer shall provide the Local Health Board with a certified copy or give all necessary authority to enable the Local Health Board to make a request to the primary care organisation to obtain a certified copy of the certificate.".

(6) In regulation 4A(5)(b), for "Local Health Board", substitute "primary care organisation".

(7) For regulation 4A(8), substitute -

"(8) Upon receipt of a performer's application made in accordance with this regulation, a Local Health Board will consider the application and notify the performer of their decision as to whether:

(a)the performer is provisionally included in its performers list (with or without conditions);

(b)the decision on the application is deferred until the Local Health Board has received and considered all the information required under this regulation; or

(c)the performer is refused admission to its performers list.".

(8) After regulation 4A(8), insert-

"(8A) A performer who is provisionally included on a Local Health Board performer list pursuant to regulation 4A may perform primary services until the first of the following events arises:

(a)the Local Health Board, after considering the performer's online Disclosure and Barring Service certificate status, or the enhanced criminal record certificate required by regulation 4A(4)(b), the information and clinical references required by paragraph (5)(b), and the information relating to a general medical practitioner's medical qualifications required by regulation 23A(6) or a dentist's dental qualifications required by regulation 30A(5), notifies the performer of its decision to -

(i)include the performer in the performers list;

(ii)contingently remove the performer from the performers list; or

(iii)remove the performer from the performers list; or

(b)the end of a period of three months, starting on the date on which the Local Health Board receives the application under this regulation from the performer.

(8B) If the Local Health Board defers their decision pursuant to paragraph (8)(b) of this regulation the Local Health Board must notify the performer of the reasons for the deferral.

(8C) The Local Health Board may only defer a decision under paragraph (8)(b) until such time as the Local Health Board receives and considers the enhanced criminal record certificate as required by paragraph (4)(b), the information and clinical references required by paragraph (5)(b), and the information relating to a general medical practitioner's medical qualifications required by regulation 23A(6) or a dentist's dental qualifications required by regulation 30A(5), as appropriate.

(8D) The Local Health Board shall notify the performer as soon as possible that -

(a)the performer's application to be included in its performers list has been successful; or

(b)the Local Health Board has decided to refuse the application or impose conditions on the performer's inclusion and the reasons for that (including any facts relied upon), and any right of appeal under regulation 15.".

Amendment of regulation 9 of the principal Regulations

5.-(1) In regulation 9(4), for "115", substitute, "113B".

Amendment of regulation 23A of the principal Regulations

6.-(1) Regulation 23A of the principal Regulations is amended as follows.

(2) In regulation 23A(1), after "shall give the information required by paragraph 1", remove "(a),".

(3) Omit regulation 23A(4).

(4) After regulation 23A(5), insert-

"(6) The general medical practitioner shall provide all necessary authority to enable a request to be made by that Local Health Board to the primary care organisation, for information relating to the general medical practitioner's medical qualifications (including where they were obtained), and evidence concerning the general medical practitioner's qualifications and experience.".

Amendment of regulation 26 of the principal Regulations

7.-(1) Regulation 26 of the principal Regulations is amended as follows.

(2) At the end of regulation 26(1)(e), omit "or".

(3) At the end of regulation 26(1)(f), for ".", substitute "; or".

(4) After regulation 26(1)(f), insert -

"(g)no longer licensed to practise medicine.".

Amendment of Part 4 of the principal Regulations

8.  In Part 4, in each time it occurs, for "vocational training", substitute "foundation training".

Amendment of regulation 28 of the principal Regulations

9.-(1) Regulation 28 of the principal Regulations is amended as follows.

(2) At the end of regulation 28(2)(f)(iv), omit "and".

(3) At the end of regulation 28(2)(f)(v), for "." substitute ", and".

(4) After regulation 28(2)(f)(v), insert-

"(vi)demonstrate that he or she has completed foundation training to a satisfactory level.".

(5) For regulation 28(3)(a), substitute-

"(a)a period of full-time employment, normally of one year and not more than two years, to demonstrate satisfactory completion of foundation training;".

Amendment of regulation 30 of the principal Regulations

10.-(1) Regulation 30 of the principal Regulations is amended as follows.

(2) For regulation 30(2)(b)(ii), substitute-

"(ii)to withdraw from the dental performers list if he or she fails to satisfactorily complete his or her foundation training, and".

(3) For regulation 30(2)(b)(iii), substitute-

"(iii)upon satisfactory completion of the dentist's foundation training, to provide the Local Health Board with satisfactory evidence of that fact.".

(4) After regulation 30, insert-

"30A.    Application for inclusion in a dental performers list by a dentist already listed on a dental performers list of a primary care organisation

(1) In addition to providing the information required by regulation 4A(2), the dentist when making an application for inclusion of the dentist's name in a dental performers list whilst that dentist is included in a dental performers list with a primary care organisation shall give the information required by paragraph 1(b), (c), (d), (e), (f) and (g) of regulation 30.

(2) In addition to the undertakings required by regulation 4A(3), the dentist shall give the further undertakings as required by paragraph (2) of regulation 30.

(3) If the dentist is an armed forces dentist included in a list held by a primary care organisation, the dentist shall not be required to give an undertaking as required by regulation 4(3), as further specified in regulation 4(3)(e).

(4) A dentist may not withdraw an application made under this regulation whilst a Local Health Board is deciding that application.

(5) The dentist shall provide all necessary authority to enable a request to be made by the Local Health Board to the primary care organisation, for information relating to the dentist's dental qualifications (including where they were obtained), and evidence concerning the dentist's qualifications and experience.".

Amendment of regulation 31 of the principal Regulations

11.-(1) Regulation 31 of the principal Regulations is amended as follows.

(2) For regulation 31(2)(c), substitute-

"(c)he or she is not undertaking foundation training and had neither satisfactorily completed foundation training nor is exempt under paragraph (5) from the requirement to undertake foundation training.".

Amendment of regulation 32 of the principal Regulations

12.-(1) Regulation 32 of the principal Regulations is amended as follows.

(2) For regulation 32(1)(c), substitute-

"(c)has failed to satisfactorily complete foundation training and has not withdrawn from the list pursuant to regulation 30(2)(b)(ii).".

EXPLANATORY NOTE

(This note is not part of the Regulations)

These Regulations amend the National Health Service (Performers Lists) (Wales) Regulations 2004 ("the principal Regulations").

Regulation 2 amends regulation 2 of the principal Regulations to provide further definitions in Part 2.

Regulation 3 amends regulation 4 of the principal Regulations by inserting new requirements relating to indemnity arrangements.

Regulations 3 and 5 update references to the Police Act 1997 and make provisions in relation to Disclosure and Barring Service checks.

Regulation 3(9) extends the scope of regulation 4(4)(g) of the principal Regulations. Regulation 4(4)(g) now captures proceedings in the United Kingdom and elsewhere.

Regulation 4 amends regulation 4A of the principal Regulations. Regulation 4 amends the information that a performer who is already listed on a Primary Care Organisation's performers list is required to provide. Regulation 4 also makes consequential amendments.

Regulation 6 amends regulation 23A of the principal Regulations and amends the information to be provided by medical practitioners.

Regulation 7 makes minor amendments to the principal Regulations and the grounds for mandatory removal by a Local Health Board of a medical practitioner from its medical performers list.

Regulations 8 and 9 amend Part 4 of the principal Regulations by updating references and definitions.

Regulation 10 amends regulation 30 of the principal Regulations in relation the specific information that dentists must provide.

Regulation 10(4) inserts a new regulation 30A into the principal Regulations, which makes provision for how dental practitioners who are already listed on a dental performers list in Wales, England, Scotland or Northern Ireland are to apply to be included in a dental performers list in Wales and specifies what information is to accompany such an application.

Regulations 11 and 12 make consequential amendments in relation to dental foundation training.

The Welsh Ministers' Code of Practice on the carrying out of Regulatory Impact Assessments was considered in relation to these Regulations. As a result, it was not considered necessary to carry out a regulatory impact assessment as to the likely costs and benefits of complying with these Regulations.