Schedule 2 SUBSTITUTED PARTS I, II AND III OF SCHEDULE 3 TO THE PRINCIPAL REGULATIONS

“PART I

INFORMATION TO BE INCLUDED IN A REPORT BY A HEALTH AUTHORITY WHEN MAKING A REFERENCE TO THE MEDICAL PRACTICES COMMITTEE

A. Generally, in all cases

1

The number of doctors who are not restricted doctors on the Authority’s medical list providing general medical services primarily in the Health Authority’s area.

2

The number of restricted doctors and the restricted services/restricted category of patients applicable to each.

3

The part of the Health Authority’s locality where the doctors mainly practise, and whether each doctor practises as—

(a)

a full-time doctor;

(b)

a three-quarter-time doctor;

(c)

a half-time doctor;

(d)

a job-sharing doctor;

(e)

a restricted doctor.

4

In respect of each doctor, the number of patients on his list in respect of each Health Authority in whose list he is included, and the total.

5

The average number of patients on the lists of doctors providing general medical services in the Health Authority’s area.

6

The number of full time salaried doctors providing general medical services primarily in the Health Authority’s area.

7

The number of doctors performing personal medical services in connection with pilot schemes primarily in the Health Authority’s area.

8

Any other information that the Health Authority considers to be relevant.

9

A recommendation (including a recommendation as to which of the conditions of practice set out in regulation 13(2) should be imposed on any additional practitioner) from the Health Authority, with reasons, for dealing with the reference, giving an account of the consultation with the Local Medical Committee and any other relevant Health Authority pursuant to regulation 11(6), and an account of any report from the Community Health Council (if made).

10

A definition of the locality in question, whether by means of a description in words or by reference to a map, plan or diagram, or in any other way which unambiguously identifies the boundary of the locality.

B. Additional information to be included where the reference is being made to the Medical Practices Committee on the death of a doctor, or the withdrawal or removal of a doctor from a medical list

11

(a)

The full name, age and practice address of the doctor and the locality of the Health Authority’s area in which such services were provided and the date of his death, withdrawal or removal from the medical list;

(b)

whether the doctor practised as—

(i)

a full-time doctor,

(ii)

a three-quarter-time doctor,

(iii)

a half-time doctor,

(iv)

a job-sharing doctor,

(v)

a restricted doctor;

(c)

the total number of patients on his list;

(d)

the number of patients on his list who are—

(i)

aged at least 65 but who have not yet attained the age of 75, and

(ii)

aged 75 and over;

(e)

where he was a doctor who was authorised or required under regulation 20 of the Pharmaceutical Regulations to provide drugs or appliances, the number of patients on his list in respect of whom he was so authorised;

(f)

the total annual number of temporary resident attendances based on the last available four complete quarters;

(g)

the total number of patients on his list attracting deprivation payments;

(h)

the number of hours per week which he devoted to health-related activities within the meaning of paragraph 30 of Schedule 2;

(i)

the total number of rural practice units credited for the last known quarter; and

(j)

the number and location of the practice premises from which he provided general medical services, and sessions spent at branch surgeries.

12

Details of each doctor who provides general medical services from practice premises situated up to 8 kilometres from the doctor’s practice premises as respects each of the matters set out in paragraph 11(a)–(j).

13

If the Medical Practices Committee so requests, a breakdown of age/sex of patient lists and type of area of residence.

PART II

INFORMATION TO BE INCLUDED IN A REPORT BY A HEALTH AUTHORITY TO THE MEDICAL PRACTICES COMMITTEE CONCERNING ADEQUACY OF SERVICES

1

The number of doctors in the medical list providing general medical services mainly in the Health Authority’s area.

2

The locality where the doctors mainly practise, and whether each doctor practises as—

(a)

a full-time doctor;

(b)

a three-quarter-time doctor;

(c)

a half-time doctor;

(d)

a job-sharing doctor; or

(e)

a restricted doctor.

3

In respect of each doctor, the number of patients on his list in respect of each Health Authority in whose medical list he is included and the total.

4

The number of full time salaried doctors providing general medical services primarily in the Health Authority’s area.

5

The number of doctors providing personal medical services under pilot schemes primarily in the Health Authority’s area.

PART III

INFORMATION AND UNDERTAKINGS TO BE GIVEN BY A PRACTITIONER IN CONNECTION WITH AN APPLICATION FOR NOMINATION OR APPROVAL FOR A PRACTICE VACANCY

1

Full name.

2

Sex.

3

Date of birth.

4

Private address and telephone number.

5

Medical qualifications and where obtained, a copy of evidence concerning the applicant’s qualifications and experience produced in accordance with the National Health Service (Vocational Training for General Medical Practice) Regulations 1997^f1.

6

Declaration that he is a fully registered medical practitioner, included in the Medical Register.

7

Registration number in the Medical Register and date of first registration.

8

Notification of address(es) of proposed practice premises.

9

Where the applicant is to practise as a job-sharing doctor, the name of the other job-sharing doctor with whose hours the applicant’s hours are to be aggregated for the purposes of regulation 13(2)(d).

10

Notification of proposed days and hours of attendance.

11

Telephone number(s) at which prepared to receive messages.

12

Undertaking that, if accepting as a patient a person who, at the time of acceptance, is residing at a place outside the practice area, he will visit him at that address.

13

Proposed place of residence (including telephone number and distance from main surgery) and an undertaking to inform the Health Authority whenever changing permanent residence.

14

Whether or not on the medical list for the Health Authority’s area.

15

Professional experience (including starting and finishing dates of each appointment) separated into:

(a)

general practice experience (whether as principal, assistant or deputy);

(b)

hospital appointments;

(c)

other (including obstetric) experience;

(d)

any additional supporting particulars.

16

The name and address of principal to whom GP Registrar or assistant.

17

Particulars of covenants restricting medical practice by the applicant in the Health Authority’s area.

18

Names and addresses of two referees.

19

If the applicant is not in the Health Authority’s medical list, the name of any other Health Authority in whose list he is included, and particulars of any outstanding application for inclusion in the medical list of any Health Authority.

20

Information about general medical services to be provided in the locality, and in particular whether—

(a) including} excluding} limited to}

maternity medical services

(b) including} excluding} limited to}

contraceptive services

and, if provided, whether or not such contraceptive services will—

(i)

include the fitting of intra-uterine devices; and

(ii)

be restricted to patients to whom the doctor or one of his partners provides other general medical services.

(c) including} excluding} limited to}

child health surveillance

(d) including} excluding} limited to}

minor surgery services

21

Whether or not applied/intending to apply for—

(a)

inclusion in minor surgery list,

(b)

inclusion in child health surveillance list,

(c)

inclusion in obstetric list.

22

In the case of a restricted list application, the name of the establishment or organisation, to which patients connected to them, the applicant will be limiting the provision of general medical services.

23

In the case of a restricted services application, confirmation that the applicant is eligible to be included in the appropriate restricted services list(s).

24

Any other information that the Health Authority may reasonably require.

25

An undertaking to be bound by the terms of service.”