Regulation 8 Eligibility—supply of optical appliancesI1
England and Wales
A payment shall be made as provided for by this Part of these Regulations to meet, or to contribute towards, the cost incurred (whether by way of charge under the Act or otherwise) for the supply of an optical appliance for which a prescription has been given in consequence of a testing of sight of an eligible person—
which took place under the Act; or
which took place otherwise than under the Act.
An eligible person is a person who at the time of F1the payment for the supply of the optical appliance is any of the following—
a child;
a person under the age of 19 years and receiving qualifying full-time education within the meaning of paragraph 7 of Schedule 12 to the Actf1;
a person whose resources are treated, in accordance with paragraph (3), as being less than his requirements;
a person whose income resources, as calculated in accordance with regulation 6 of, and Schedule 1 to, the Remission Regulations for the purposes of remission of charges under the Act, are equal to or exceed his requirements as so calculated but whose patient’s contribution is nil or is less than the face value of a voucher issued to him under this Part of these Regulations and whose capital resources do not exceed the capital limit;
a person for whom a prescription is issued for a complex appliance.
A person’s resources shall be treated as being less than his requirements if—
he is in receipt of income support;
he is a member of the same family as a person who is in receipt of income support;
he is in receipt of working families' tax credit with an amount withdrawn of £70 or less;
he is a member of the same family as a person described in paragraph (c) of this paragraph;
his income resources as calculated in accordance with regulation 6 of, and Schedule 1 to, the Remission Regulations for the purposes of remission of charges under the Act, are less than his requirements as so calculated and his capital resources as so calculated do not exceed the capital limit;
he is a member of the same family as a person described in paragraph (e) of this paragraph;
he is in receipt of disabled person’s tax credit with an amount withdrawn of £70 or less;
he is a member of the same family as a person described in sub-paragraph (g) of this paragraph;
he is in receipt of an income-based jobseeker’s allowance; or
he is a member of the same family as a person described in sub-paragraph (i) of this paragraph.
In paragraph (3), “family” (in references to membership of the same family) has the meaning given to it by section 137(1) of the Social Security Contributions and Benefits Act 1992f2—
as it applies to income supportf3, in the case of paragraph (3)(b) and (f);
as it applies to F5working families' tax credit, in the case of paragraph (3)(d); and
as it applies to F6disabled person’s tax credit, in the case of paragraph (3)(h)
and has the meaning given to it by section 35 of the Jobseekers Act 1995f4 in the case of paragraph (3)(j).
For the purposes of regulation 10 and other provisions of this Part of these Regulations as they apply to payments where the testing of sight was by an NHS trust, a person is also an eligible person if, because of the frequency with which the condition of his eyes changes, he is considered by the NHS trust to be non-tolerant of his existing optical appliance.
Annotations
Textual amendments
- F1
Words in reg. 8(2) inserted (1.4.1999) by The National Health Service (Optical Charges and Payments) Amendment Regulations 1999 (S.I. 1999/609), regs. 1(1), 3
- F2
Reg. 8(3)(c) substituted (5.10.1999) by The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) (Amendment) Regulations 1999 (S.I. 1999/2562), regs. 1(1), 2(2)(a) (with reg. 4)
- F3
Reg. 8(3)(d) substituted (5.10.1999) by The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) (Amendment) Regulations 1999 (S.I. 1999/2562), regs. 1(1), 2(2)(b) (with reg. 4)
- F4
Reg. 8(3)(g) substituted (5.10.1999) by The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) (Amendment) Regulations 1999 (S.I. 1999/2562), regs. 1(1), 2(2)(c) (with reg. 4)
- F5
Words in reg. 8(4)(b) substituted (5.10.1999) by The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) (Amendment) Regulations 1999 (S.I. 1999/2562), regs. 1(1), 2(2)(d) (with reg. 4)
- F6
Words in reg. 8(4)(c) substituted (5.10.1999) by The National Health Service (Optical Charges and Payments) and (General Ophthalmic Services) (Amendment) Regulations 1999 (S.I. 1999/2562), regs. 1(1), 2(2)(e) (with reg. 4)
Commencement
- I1
Reg. 8 in force at 1.4.1997, see reg. 1(1)
Footnotes
- f1
-
Paragraph 7 was substituted by the Health Services Act 1980 (c. 53), Schedule 5, paragraph 4.
- f2
- f3
-
See S.I. 1987/1967, regulations 14 to 16; relevant amending instruments are S.I. 1988/663 and 1445, 1989/534, 1990/547, 1992/468 and 3147, 1993/2119 and 1996/206.
- f4
-
See 1996/207, regulations 76 to 78 as amended by S.I. 1996/1516 and 1517.