{
  "url": "https://openlegislation.uk/national-health-service-general-medical-services-contracts-regulations-2004/schedule-2/paragraph-4",
  "json_url": "https://openlegislation.uk/national-health-service-general-medical-services-contracts-regulations-2004/schedule-2/paragraph-4.json",
  "legislation": "uksi/2004/291",
  "legislation_title": "The National Health Service (General Medical Services Contracts) Regulations 2004",
  "legislation_url": "https://openlegislation.uk/national-health-service-general-medical-services-contracts-regulations-2004",
  "path": "schedule/2/paragraph/4",
  "kind": "paragraph",
  "number": "4",
  "heading": "Vaccinations and immunisations",
  "text": "(1) A contractor whose contract includes the provision of vaccinations and immunisations shall comply with the requirements in sub-paragraphs (2) and (3).\n(2) The contractor shall—\n(a) offer to provide to patients all vaccinations and immunisations (excluding childhood vaccinations and immunisations) of a type and in the circumstances for which a fee was provided for under the 2003–04 Statement of Fees and Allowances made under regulation 34 of the National Health Service (General Medical Services) Regulations 1992 other than influenza vaccination;\n(b) provide appropriate information and advice to patients about such vaccinations and immunisations;\n(c) record in the patient’s record kept in accordance with paragraph 73 of Schedule 6 any refusal of the offer referred to in paragraph (a);\n(d) where the offer is accepted, administer the vaccinations and immunisations and include in the patient’s record kept in accordance with paragraph 73 of Schedule 6—\n(i) the patient’s consent to the vaccination or immunisation or the name of the person who gave consent to the vaccination or immunisation and his relationship to the patient,\n(ii) the batch numbers, expiry date and title of the vaccine,\n(iii) the date of administration,\n(iv) in a case where two vaccines are administered in close succession, the route of administration and the injection site of each vaccine,\n(v) any contraindications to the vaccination or immunisation, and\n(vi) any adverse reactions to the vaccination or immunisation.\n(3) The contractor shall ensure that all staff involved in administering vaccines are trained in the recognition and initial treatment of anaphylaxis.",
  "extent": null,
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "footnote",
      "label": "f1",
      "text": "S.I. 1992/635; regulation 34 was amended by S.I. 1993/540, 1997/2468, 2000/601, 2001/3742 and 2002/2469."
    }
  ],
  "outstanding_effects": [
    {
      "type": "words substituted",
      "affecting": "uksi/2004/2694",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2004"
    },
    {
      "type": "substituted",
      "affecting": "uksi/2012/970",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2012"
    },
    {
      "type": "words substituted",
      "affecting": "uksi/2012/970",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2012"
    },
    {
      "type": "words substituted",
      "affecting": "uksi/2012/970",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2012"
    },
    {
      "type": "substituted",
      "affecting": "uksi/2012/970",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2012"
    },
    {
      "type": "word substituted",
      "affecting": "uksi/2012/970",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2012"
    },
    {
      "type": "words omitted",
      "affecting": "uksi/2012/970",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2012"
    },
    {
      "type": "words omitted",
      "affecting": "uksi/2012/970",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2012"
    },
    {
      "type": "words substituted",
      "affecting": "uksi/2012/970",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments) Regulations 2012"
    },
    {
      "type": "words substituted",
      "affecting": "uksi/2013/363",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments and Transitional Provisions) Regulations 2013"
    },
    {
      "type": "words substituted",
      "affecting": "uksi/2013/363",
      "affecting_title": "The National Health Service (Primary Medical Services) (Miscellaneous Amendments and Transitional Provisions) Regulations 2013"
    }
  ],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/uksi/2004/291/schedule/2/paragraph/4",
    "retrieved_at": "2026-10-29T05:34:19.087921+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."
}