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The National Health Service (Charges to Overseas Visitors) Amendment (No. 2) Regulations 1988

S.I. 1988/472 · Made 8 March 1988

Original text. legislation.gov.uk does not revise statutory instruments, so later amendments are not shown here. Changes made to it are listed under each provision when known.

NATIONAL HEALTH SERVICE, ENGLAND AND WALES

Made 8th March 1988

Laid before Parliament 11th March 1988

Coming into force 1st April 1988

The Secretary of State for Social Services, in exercise of powers conferred on him by section 121 of the National Health Service Act 1977f1 and of all other powers enabling him in that behalf, hereby makes the following Regulations:—

Annotations to the whole text

Footnotes

f1

1977 c. 49; see section 128(1) for the definitions of “prescribed” and “regulations”.

Contents

  1. 1Citation, commencement and interpretation
  2. 2Amendment of principal Regulations
  3. 3Revocations
  4. Signature
  5. Schedule 1SCHEDULE 2 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS
  6. Schedule 2SCHEDULE 3 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS
  7. Schedule 3SCHEDULE 4 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS
  8. Explanatory note

1Citation, commencement and interpretation

(1)

These Regulations may be cited as the National Health Service (Charges to Overseas Visitors) Amendment (No. 2) Regulations 1988 and shall come into force on 1st April 1988.

(2)

In these Regulations “the principal Regulations” means the National Health Service (Charges to Overseas Visitors) (No. 2) Regulations 1982f1.

2Amendment of principal Regulations

(1)

The principal Regulations shall be amended in accordance with the following paragraphs of this regulation.

(2)

In regulation 2—

(a)

for paragraph (3) there shall be substituted the following—

“(3)

Where the services forming part of the health service are provided for an overseas visitor, otherwise than as an in-patient of a health service hospital, at, or by staff employed to work at or under the direction of a hospital of any class, there shall be made and recovered, in respect of each occasion on which such services are provided, a charge the amount of which shall be—

(a)

except where it falls to be determined under sub-paragraph (b) below, the sum specified in the column of Schedule 3 covering the class of hospital in which that hospital is included opposite the entry in Column 1 of that Schedule which relates to the services provided;

(b)

in the case of the procedures to which paragraph 5(i) of Schedule 3 relates, the sum determined by multiplying the number of unit values, specified in Schedule 4 for the group into which the relevant procedure falls, by the appropriate unit charge specified against paragraph 5(i) in the column of Schedule 3 covering the class of hospital in which that hospital is included.”

(b)

After paragraph (4) there shall be added the following paragraph—

“(5)

For the purposes of paragraph (2) and Schedule 2, a “single room” means a room used for the accommodation of one patient only, such room having a floor area of not less than 10 square metres (or 8 square metres where a room is for the accommodation of a child under the age of 10 years) and being completely enclosed by walls or partitions and doors and having been decorated within the previous 7 years.”

(3)

For Schedule 2 (daily charges for services provided for overseas visitors as in-patients) there shall be substituted the Schedule set out as Schedule 1 to these Regulations.

(4)

For Schedule 3 (charges for services provided for overseas visitors otherwise than as in-patients) there shall be substituted the Schedule set out as Schedule 2 to these Regulations.

(5)

For Schedule 4 (units of cost value for purpose of determining charges for radiodiagnosis examination procedures) there shall be substituted the Schedule set out as Schedule 3 to these Regulations.

3Revocations

The following Regulations are hereby revoked:—

(a)

The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1983f1, regulations 2 and 5;

(b)

The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1987f2, regulation 2(3) and (4) and Schedules 1 and 2;

(c)

The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1988f3, regulation 2(3).

Signature

Signed by authority of the Secretary of State for Social Services.

Tony Newton

Minister of State,

Department of Health and Social Security

8th March 1988

Schedule 1SCHEDULE 2 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS

“SCHEDULE 2

DAILY CHARGES FOR SERVICES PROVIDED FOR OVERSEAS VISITORS AS IN-PATIENTS

Regulation 2(2)

(1) Class of hospital in which services are provided(2) Single Room(3) Other Accommodation
££
Class A(Long-Stay Hospitals)9384
Class B(Psychiatric Hospitals)8577
Class C1(Mainly acute and other hospitals in non-teaching districts)149136
Class C2(Acute and other hospitals in non-teaching districts)170154
Class D(Hospitals in London teaching districts (other than hospitals in Classes A and B))231210
Class E(Hospitals in provincial teaching districts (other than hospitals in Classes A and B))185168
Class F(London Postgraduate Teaching hospitals managed by Special Health Authorities except the Hospitals for Sick Children and the National Heart and Chest Hospitals)253230
Class G(The Hospitals for Sick Children and the National Heart and Chest Hospitals)392357

”

Schedule 2SCHEDULE 3 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS

“SCHEDULE 3

CHARGES FOR SERVICES PROVIDED FOR OVERSEAS VISITORS OTHERWISE THAN AS IN-PATIENTS

Regulation 2(3)

(1) Services Provided(2) Hospital Class A-E(3) Hospital Class F and G
££
1

For a patient on each attendance at a hospital other than attendances directly associated with the procedures listed in paragraphs 4—12 below.

14.5021.50

DAY CASES

2

Charges per day exclusive of charges for procedures listed in paragraphs 4—12 below.

For the purpose of this item a day case is a patient who attends as a non-resident patient for investigation, treatment or operation and who occupies a bed without staying overnight.

28.5029.50

DAY PATIENTS

3

Charges per day exclusive of charges for procedures listed in paragraphs 4—12 below.

For the purpose of this item a day patient is someone who attends regularly for a course of treatment without necessarily occupying a bed or staying overnight.

34.0035.00

PATHOLOGY

4

For each request.

7.5015.00

RADIODIAGNOSIS, NUCLEAR MEDICINE AND ULTRASOUND

5
i.

For each procedure listed in Schedule 4 (charge per unit value).

6.50 per unit for the first 6 units, 1.00 per unit thereafter.9.00 per unit for the first 6 units, 1.25 per unit thereafter.
ii.

C.T. Scanning. For all scans.

96.00115.00

RADIOTHERAPY

6

For treatment in any one day:

18.0044.50

PHYSIOTHERAPY AND REMEDIAL GYMNASTICS

7

Per attendance

5.5011.50

OCCUPATIONAL THERAPY

8

For treatment in any one day

8.5010.00

OTHER DIAGNOSTIC PROCEDURES

9
i.

Audiometry.

5.005.00
ii.

Electrocardiography. For each testing session.

9.5017.50
iii.

Electroencephalography. For each testing session.

38.5083.50
iv.

Electromyography. For each testing session.

24.0050.50

USE OF OPERATING THEATRE FACILITIES

10

Operating theatre facilities booked as required:

i.

For less than 10 minutes.

22.5028.00
ii.

For 10 minutes to 30 minutes.

44.0056.00
iii.

For more than 30 minutes.

67.0084.00

DIALYSIS

11

For haemodialysis or intermittent peritoneal dialysis:

i.

With training or routine at a hospital per session.

111.00111.00
ii.

Routine, at home — per session

70.5070.50
iii.

Minimal Care Unit — per session

90.5090.50
For continuous ambulatory peritoneal dialysis (including continuous cycling peritoneal dialysis) — per day.33.5033.50

SUPPLY OF DRUGS AND MEDICINES

12

For the supply of a drug or medicine which is designed to elimininate, prevent the replication of, or in any way inhibit the mode of action of any Human Immunodeficiency Virus—for each quantity sufficient for one day’s treatment.

14.5014.50

”

Schedule 3SCHEDULE 4 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS

“SCHEDULE 4

UNIT VALUES FOR PURPOSE OF DETERMINING CHARGES FOR RADIOLOGICAL PROCEDURES

Regulation 2(3)

Group A:

1 unit value for each procedure

  • Abdomen erect and/or supine

  • Acromio-clavicular joint(s)

  • Ankle

  • Chest PA and/or lateral and/or obliques and/or rib views

  • Clavicle

  • Elbow

  • Femur

  • Finger or fingers of one hand

  • Foot

  • Foreign body demonstration

  • Hand

  • Hip

  • Humerus

  • Knee

  • Larynx

  • Localisation of treatment field

  • Mandible

  • Nasal bones

  • Calcaneum

  • Patella

  • Pathological specimen

  • Pelvis

  • Hips and pelvis

  • Post-nasal space

  • Radius and ulna

  • Sacro-iliac joints

  • Sacrum and/or coccyx

  • Scapula

  • Shoulder

  • Sinuses and antra

  • Sterno-clavicular joint

  • Sternum

  • Teeth

  • Thoracic inlet

  • Thumb

  • Tibia and fibula

  • Toe or toes of one foot

  • Wrist

  • Perineum

  • Soft tissues of neck

Group B:

2.5 unit values for each procedure

  • Cholangiography, post-operative

  • Cholecystography

  • Facial bones and/or cephalometry

  • Fluoroscopy with mobile image intensifier

  • Mammography

  • Mastoids

  • Orthopaedic measurement

  • Pelvimetry

  • Pneumothorax, diagnostic

  • Skull and/or pituitary fossa and/or optic foramina and/or internal auditory meati

  • Small bowel biopsy

  • Spine

  • Lumbar spine

  • Lumbo-sacral spine

  • Lumbo-sacral spine and sacro-iliac joints

  • Lumbo-sacral spine with obliques

  • Cervical spine

  • Cervical spine with obliques

  • Cervical spine with obliques and flexion and extension views

  • Lumbar spine and cervical spine on one patient

  • Teeth, panoramic tomography

  • Temporo-mandibular joints

  • Ultrasound, all types

  • Salivary glands

  • Skeletal survey

Group C:

6 unit values for each procedure

  • Cholangiography, operative

  • Cystography

  • Cystometrography

  • Cysto-urethrography

  • Dacrocystography

  • Endoscopy

  • Foreign body localisation

  • Gastro-intestinal tract, upper (includes examination to the mouth of the upper small bowel or any part thereof)

  • Orthopaedic pinning

  • Hysterosalpingography

  • Intra-uterine transfusion

  • Kidney, exposed

  • Laryngography

  • Mammary ductography

  • Retrograde pyelography and/or ascending ureterography

  • Sialography

  • Sinography

  • Tomography, as a separate examination

  • Urethrography

  • Cholangiography, infusion

  • Cholangiography, intravenous

  • Gastro-intestinal tract, lower

  • Pharyngography

  • Fluoroscopy, other

  • Computed tomography of the Head without contrast enhancement

  • Computed tomography of the Head with contrast enhancement

  • Computed tomography of the Neck without contrast enhancement

  • Computed tomography of the Neck with contrast enhancement

  • Computed tomography of the Thorax without contrast enhancement

  • Computed tomography of the Thorax with contrast enhancement

  • Computed tomography of the Abdomen without contrast enhancement

  • Computed tomography of the Abdomen with contrast enhancement

  • Computed tomography of the Pelvis without contrast enhancement

  • Computed tomography of the Pelvis with contrast enhancement

  • Computed tomography of a Limb without contrast enhancement

  • Computed tomography of a Limb with contrast enhancement

  • Computed tomography of the Spine without contrast enhancement

  • Computed tomography of the Spine with contrast enhancement

Group D:

12 Unit vales for each procedure

  • Aminiography

  • Arthrography

  • Biopsy and/or aspiration under imaging control (includes Amniocentesis including ultrasound examination before and after the procedure)

  • Bronchography

  • Cholangiograpy, percutaneous

  • Excretion urography

  • Gastro-intestinal tract, upper including small bowel

  • Gynaecography

  • Stereotaxis

  • Nerve injection under imaging control

  • Ventriculography

  • Nephrostogram, post operative

  • Antegrade pyelography

Group E:

30 Unit values for each procedure

  • Aortography

  • Bile duct, external drainage

  • Cardiac catheterisation without angiocardiography

  • Discography

  • Insertion of pacemaker

  • Lymphangiography

  • Myelography

  • Nephrostomy, percutaneous

  • Phlebography

  • Programmed stimulation study

  • Retrograde cholangio-pancreatography

  • Lumbar radiculography

  • Meatography

  • Shuntography

Group F:

60 unit values for each procedure

  • Angiocardiography

  • Angioplasty, including angiography pre- and post-angioplasty

  • Arteriography, all types

  • Embolisation

  • Encephalography

  • Pituitary implant

  • Magnetic resonance imaging

  • Bile duct, internal drainage

  • Bile duct, dilation of stricture

  • Bile duct, stone extraction

  • Kidney, stent insertion

  • Kidney, stone extraction or destruction

  • Dilatation of oesophageal stricture

  • Dilatation of pyloric stenosis

  • Insertion of caval filters

  • Management of varicocoele

  • Removal of intravascular foreign body

  • Ablation of function of spleen

  • Ablation of function of kidney

  • Ablation of function of parathyroid

  • Ablation of function of adrenal

  • Cisternography”

Explanatory note

(This note is not part of the Regulations)

These Regulations further amend the National Health Service (Charges to Overseas Visitors) (No. 2) Regulations 1982, their main effect being to increase the sums prescribed for charges to certain overseas visitors for services forming part of the health service.

Regulation 2 substitutes new Schedules of charges for overseas visitors, both as in-patients (the new Schedule 2) and otherwise (the new Schedule 3).

Regulation 2(5) substitutes a new Schedule 4 to the principal Regulations, by which radiological procedures are no longer allocated individual unit values. They are classified into six groups instead and unit values are specified for each group in ascending order. There is a higher charge per unit value for the first six units than for subsequent units.

Regulation 3 makes consequential revocations.