Paragraph 49 Contract sanctions and the NHS dispute resolution procedure
Changes not yet applied. Later legislation changes this provision in ways not yet written into the text below:
- Sch. 1 para. 14 heading words substituted by Health and Care Act 2022 (Further Consequential Amendments) 2023 reg. 29(3)
- Sch. 1 para. 56 words substituted by Health Education England (Transfer of Functions, Abolition and Transitional Provisions) 2023 Sch. 2 para. 8
- Sch. 1 para. 56 words substituted by Care Act 2014 (Health Education England and the Health Research Authority) (Consequential Amendments and Revocations) 2015 Sch. 2 para. 19
- Sch. 1 para. 29(1) substituted by National Health Service (Primary Dental Services and General Ophthalmic Services) (Miscellaneous Amendments and Transitional Provision) 2015 reg. 11
- Sch. 1 para. 26(2) word omitted by Social Services and Well-being (Wales) Act 2014 (Secondary Legislation) 2016 Sch. 3 para. 105(a)
- Sch. 1 para. 26(2) word inserted by Social Services and Well-being (Wales) Act 2014 (Secondary Legislation) 2016 Sch. 3 para. 105(b)
- Sch. 1 para. 26(2) words inserted by Social Services and Well-being (Wales) Act 2014 (Secondary Legislation) 2016 Sch. 3 para. 105(c)
- Sch. 1 Pt. 4A inserted by Local Authority Social Services and National Health Service Complaints 2009 Sch. para. 7(2)
- Sch. 1 para. 22(1) substituted by Local Authority Social Services and National Health Service Complaints 2009 Sch. para. 7(3)(a)
- Sch. 1 para. 26(1)(a)(ii) words substituted by Local Authority Social Services and National Health Service Complaints 2009 Sch. para. 7(3)(b)(i)
- Sch. 1 para. 26(2) words added by Local Authority Social Services and National Health Service Complaints 2009 Sch. para. 7(3)(b)(ii)
- Sch. 1 para. 1(1) words substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(6)(a)
- Sch. 1 para. 1(2)(a) substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(6)(b)
- Sch. 1 para. 2A inserted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(7)
- Sch. 1 para. 17(3)(a) words substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(8)
- Sch. 1 para. 40(3)(a) words substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(9)(a)
- Sch. 1 para. 43(b) words substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(9)(b)
- Sch. 1 para. 44(2)(k)(ii) substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(9)(c)
- Sch. 1 para. 46(8) words substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(9)(d)
- Sch. 1 para. 47(2) words substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(9)(e)
- Sch. 1 para. 49(2)(a) words substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(9)(f)
- Sch. 1 para. 50(4)(a) words substituted by National Health Service (Miscellaneous Amendments Relating to Ophthalmic Services) 2010 reg. 3(9)(g)
- Sch. 1 para. 22 omitted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 reg. 4(3)
- Sch. 1 para. 23 omitted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 reg. 4(3)
- Sch. 1 para. 24 omitted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 reg. 4(3)
- Sch. 1 para. 25 omitted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 reg. 4(3)
- Sch. 1 para. 3 words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 reg. 4(4)
- Sch. 1 para. 8(1)(a) words omitted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(1)
- Sch. 1 para. 13(a) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(2)
- Sch. 1 para. 13(c) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(2)
- Sch. 1 para. 14 heading word substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(3)
- Sch. 1 para. 14(1) word substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(3)
- Sch. 1 para. 14(2)(a) word substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(3)
- Sch. 1 para. 14(2)(b) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(3)
- Sch. 1 para. 16 heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(4)(a)
- Sch. 1 para. 16(2) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(4)(a)
- Sch. 1 para. 16(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(4)(b)(i)
- Sch. 1 para. 16(1)(b) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(4)(b)(ii)
- Sch. 1 para. 16(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(4)(c)(i)
- Sch. 1 para. 16(3) words omitted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(4)(c)(ii)
- Sch. 1 para. 17(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(5)
- Sch. 1 para. 17(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(5)
- Sch. 1 para. 18(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(6)
- Sch. 1 para. 18(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(6)
- Sch. 1 para. 19 heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(7)
- Sch. 1 para. 19(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(7)
- Sch. 1 para. 20 substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(8)
- Sch. 1 para. 26(1)(a)(i) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(9)(a)
- Sch. 1 para. 26(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(9)(a)
- Sch. 1 para. 26(2) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(9)(b)(i)
- Sch. 1 para. 26(2) words omitted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(9)(b)(ii)
- Sch. 1 para. 27 words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(10)
- Sch. 1 para. 28 words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(11)
- Sch. 1 para. 29(1)(a)(b) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(12)
- Sch. 1 para. 33(1)(2) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(13)
- Sch. 1 para. 34(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(14)
- Sch. 1 para. 34(4) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(14)
- Sch. 1 para. 34(5) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(14)
- Sch. 1 para. 34(6) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(14)
- Sch. 1 para. 35(2) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(15)
- Sch. 1 para. 35(4)(b) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(15)
- Sch. 1 para. 35(5) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(15)
- Sch. 1 para. 35(6) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(15)
- Sch. 1 para. 35(7) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(15)
- Sch. 1 para. 36(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(16)
- Sch. 1 para. 36(2) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(16)
- Sch. 1 para. 36(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(16)
- Sch. 1 para. 37 words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(17)
- Sch. 1 para. 38 words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(18)
- Sch. 1 para. 39(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(19)
- Sch. 1 para. 40 words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(20)
- Sch. 1 para. 41 and heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(21)
- Sch. 1 para. 42 and heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(22)
- Sch. 1 para. 43 and heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(23)
- Sch. 1 para. 44 heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(24)(a)
- Sch. 1 para. 44(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(24)(a)
- Sch. 1 para. 44(2)(c) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(24)(a)
- Sch. 1 para. 44(2)(m) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(24)(a)
- Sch. 1 para. 44(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(24)(b)(i)
- Sch. 1 para. 44(4)(5) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(24)(b)(i)
- Sch. 1 para. 44(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(24)(b)(ii)
- Sch. 1 para. 44(4)(5) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(24)(b)(ii)
- Sch. 1 para. 45 and heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(25)
- Sch. 1 para. 46(1) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(26)(a)
- Sch. 1 para. 46(2)(b) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(26)(a)
- Sch. 1 para. 46(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(26)(a)
- Sch. 1 para. 46(5)-(8) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(26)(a)
- Sch. 1 para. 46(4) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(26)(b)
- Sch. 1 para. 46 heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(26)
- Sch. 1 para. 47 heading words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(27)
- Sch. 1 para. 47(1)-(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(27)
- Sch. 1 para. 47(4)(b) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(27)
- Sch. 1 para. 48(2)-(5) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(28)
- Sch. 1 para. 49(1)-(4) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(29)
- Sch. 1 para. 50(1)-(3) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(30)
- Sch. 1 para. 50(4)(a) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(30)
- Sch. 1 para. 50(5) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(30)
- Sch. 1 para. 52(6) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(31)
- Sch. 1 para. 53(b) words substituted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(32)
- Sch. 1 para. 56 inserted by National Health Service (Primary Ophthalmic Services) (Miscellaneous Amendments and Transitional Provisions) 2013 Sch. 1 para. 12(33)
- Sch. 1 para. 51(1) words substituted by Health Care and Associated Professions (Indemnity Arrangements) 2014 Sch. 2 para. 12(a)(i)
- Sch. 1 para. 51(1)(a) substituted by Health Care and Associated Professions (Indemnity Arrangements) 2014 Sch. 2 para. 12(a)(ii)
- Sch. 1 para. 51(1)(b) words substituted by Health Care and Associated Professions (Indemnity Arrangements) 2014 Sch. 2 para. 12(a)(iii)
- Sch. 1 para. 51(2)(a) words substituted by Health Care and Associated Professions (Indemnity Arrangements) 2014 Sch. 2 para. 12(b)
- Sch. 1 para. 51(2)(aa) inserted by Health Care and Associated Professions (Indemnity Arrangements) 2014 Sch. 2 para. 12(c)
- Sch. 1 para. 51(2)(b) words substituted by Health Care and Associated Professions (Indemnity Arrangements) 2014 Sch. 2 para. 12(d)
- Sch. 1 para. 38 words substituted by National Health Service (Ophthalmic Services and Optical Charges and Payments) 2023 reg. 2(4)
- Sch. 1 para. 19(2) word omitted by National Health Service (Ophthalmic Services and Optical Charges and Payments) 2024 reg. 2(7)(a)(i)
- Sch. 1 para. 19(2)(d) and word inserted by National Health Service (Ophthalmic Services and Optical Charges and Payments) 2024 reg. 2(7)(a)(ii)
- Sch. 1 para. 21(1) Sch. 1 para. 21 renumbered as Sch. 1 para. 21(1) by National Health Service (Ophthalmic Services and Optical Charges and Payments) 2024 reg. 2(7)(b)(i)
- Sch. 1 para. 21(1) words substituted by National Health Service (Ophthalmic Services and Optical Charges and Payments) 2024 reg. 2(7)(b)(i)
- Sch. 1 para. 21(2) inserted by National Health Service (Ophthalmic Services and Optical Charges and Payments) 2024 reg. 2(7)(b)(ii)
If there is a dispute between the PCT and the contractor in relation to a contract sanction that the PCT is proposing to impose, subject to sub-paragraph (4), the PCT shall not impose the proposed contract sanction, except in the circumstances specified in sub-paragraph (2) or (3).
If the contractor refers the dispute relating to the contract sanction to the NHS dispute resolution procedure within 28 days beginning on the date on which the PCT served notice on the contractor in accordance with paragraph 30(3) (or such longer period as may be agreed in writing with the PCT), and notifies the PCT that it has done so, the PCT shall not impose the contract sanction unless—
there has been a determination of the dispute pursuant to paragraph 33 and that determination permits the PCT to impose the contract sanction; or
the contractor ceases to pursue the NHS dispute resolution procedure,
whichever is the sooner.
If the contractor does not invoke the NHS dispute resolution procedure within the time specified in sub-paragraph (2), the PCT shall be entitled to impose the contract sanction forthwith.
If the PCT is satisfied that it is necessary to impose the contract sanction before the NHS dispute resolution procedure is concluded in order to—
protect the safety of the contractor’s patients; or
protect itself from material financial loss,
the PCT shall be entitled to impose the contract sanction forthwith, pending the outcome of that procedure.