{
  "url": "https://openlegislation.uk/national-health-service-general-medical-services-amendment-regulations-1993/note",
  "json_url": "https://openlegislation.uk/national-health-service-general-medical-services-amendment-regulations-1993/note.json",
  "legislation": "uksi/1993/540",
  "legislation_title": "The National Health Service (General Medical Services) Amendment Regulations 1993",
  "legislation_url": "https://openlegislation.uk/national-health-service-general-medical-services-amendment-regulations-1993",
  "path": "note",
  "kind": "note",
  "number": null,
  "heading": "Explanatory note",
  "text": "(This note is not part of the Regulations)\nThese Regulations amend the National Health Service (General Medical Services) Regulations 1992 (“the principal Regulations”) which regulate the terms on which general medical services are provided under the National Health Service Act 1977.\nRegulation 34 of the principal Regulations (payments to doctors) is amended to enable Family Health Services Authorities to make payments to doctors in respect of health promotion programmes as well as clinics and in respect of disease management programmes (Regulation 2).\nRegulation 3 contains amendments to Schedule 2 to the principal Regulations (the terms of service for doctors). Paragraph 15 (patients not seen within three years) is amended so as to provide that a doctor’s obligation to provide a consultation for the purpose of assessing a patient’s need for personal medical services arises only where such a consultation is requested. Paragraph 38 of the terms of service (fees) is amended to enable a doctor to receive remuneration in respect of treatment given to his own patients pursuant to an arrangement made with him by a fund-holding practice, in accordance with the National Health Service (Fund-holding Practices) Regulations 1993. Paragraph 50 of the terms of service and Schedule 13 to the principal regulations (annual reports) are amended to insert new provision governing the information to be contained in annual reports and the circumstances in which it has to be provided.\nSchedule 9 to the principal regulations is amended to require a doctor to issue free of charge a medical certificate which is required by a patient to enable him to claim exemption from or a reduction in liability to pay the Council Tax.",
  "extent": null,
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/uksi/1993/540/note",
    "retrieved_at": "2026-10-29T14:03:06.066721+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}