The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025
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Change 1
Schedule 2 Amendments to the National Health Service (Personal Medical Services Agreements) Regulations 2015
Regulation 3 Out of Area Registration 1 In regulation 25(1) (variation of agreements: registered patients from outside practice area), at the end of the paragraph insert “in accordance with paragraph 17 of Schedule 2”. 2 In Schedule 2, in paragraph 17 (application for inclusion in a list of patients)— (a) at the beginning of sub-paragraph (1), for “The” substitute “Subject to sub-paragraph (1C), the”; (b) after sub-paragraph (1) insert— (1A) NHS England may, following consultation with the Local Medical Committee (if any) for the area in which the contractor provides services under the contract, determine that in certain circumstances NHS England’s approval is required before a contractor accepts an application for inclusion in its list of patients in respect of a patient who resides outside the contractor’s practice area. (1B) Where NHS England has made a determination in accordance with sub-paragraph (1A) it must set out the circumstances in which its approval is required in a notice to the contractor. (1C) Where NHS England has made a determination in accordance with sub-paragraph (1A), a contractor may only accept an application for inclusion in its list of patients in respect of a person who resides outside the contractor’s practice area in the circumstances set out in a notice given under sub-paragraph (1B) with NHS England’s approval. . GP Connect 3 After regulation 61 (summary care record) insert— Enabling access to patient records through GP Connect 61A (1) Where the contractor holds a patient’s record on its computerised clinical systems, the contractor must ensure that its computerised clinical systems are configured to enable— (a) GP Connect Access Record HTML and GP Connect Access Record Structured; and (b) GP Connect Update Record. (2) A contractor must take all reasonable steps to ensure that the functionality referred to in paragraph (1) is operational at all times. (3) In this regulation— “GP Connect” means the national service known as GP Connect provided by NHS England which facilitates interconnectivity between computerised clinical systems; “GP Connect Access Record HTML” means the functionality within GP Connect that allows records to be viewed in Hypertext Markup Language by other users of GP Connect for the purpose of direct care to a patient; “GP Connect Access Record Structured” means the functionality within GP Connect that allows records to be viewed in a structured and coded format that is machine readable by other users of GP Connect for the purpose of direct care to a patient; “GP Connect Update Record” means the functionality within GP Connect that allows consultation summaries to be sent electronically to the contractor by other users of GP Connect for integration into the patient’s record; and “patient’s record” means computerised records kept in relation to a patient in accordance with regulation 60(2)(b). . Patient Guidance 4 In regulation 66(5A) (requirement to have and maintain an online presence)— (a) at the end of sub-paragraph (a) omit “and”; (b) at the end of sub-paragraph (b) after “website” insert “, and”; (c) after sub-paragraph (b) insert— (c) the General Practice Patient Guidance published on the NHS England website. . Patient Safety 5 After regulation 67I (collection of data concerning use of online consultation tools and video consultations) insert— Recording and reviewing patient safety events 67J (1) The contractor must register for, and maintain an account with, the LFPSE Service that has administrator rights. (2) In this regulation, “LFPSE Service” refers to the centralised system provided by NHS England to record information and provide data and analysis about events involving patient safety. . Contact with the practice 6 In Schedule 2, in paragraph 5 (contact with the practice)— (a) for sub-paragraph (1) substitute— (1) The contractor must take steps to ensure that all of the following means of contacting the practice are available for patients throughout core hours— (a) by attending the contractor’s practice premises; (b) by telephone; and (c) through the practice’s online consultation tool within the meaning given in regulation 64ZD(2). (1A) The contractor must take steps to ensure that a patient who contacts the contractor through— (a) any of the means listed in sub-paragraph (1)(a) to (c); or (b) a relevant electronic communication method within the meaning given in regulation 64ZE(3); is provided with an appropriate response in accordance with the following sub-paragraphs. ; (b) in sub-paragraph (3)(a), omit “under sub-paragraph (1)”. Directed Enhanced Services 7 In Schedule 2, in paragraph 10(1)(a) (duty of co-operation), for “direction 5 of the Primary Medical Services (Directed Enhanced Services) Directions 2019” substitute “the Primary Medical Services (Directed Enhanced Services) Directions”. 8 In Schedule 2, in paragraph 43(4A) (sub-contracting of clinical matters), for “direction 4 of the Primary Medical Services (Directed Enhanced Services) Directions 2020” substitute “the Primary Medical Services (Directed Enhanced Services) Directions”. 9 In regulation 3 (interpretation), in the appropriate place insert— “Primary Medical Services (Directed Enhanced Services) Directions” means directions relating to provision of enhanced services given to NHS England under section 98A(3) of the Act; . Removal from the list of patients who are violent 10 In Schedule 2, in paragraph 24 (removal from the list of patients who are violent)— (a) in sub-paragraph (1A)(b) for “another provider” to the end substitute “another provider of primary medical services in response to a request for removal under paragraph (1),”; (b) in sub-paragraph (1B)(a) omit from “set up” to “2020”; (c) after sub-paragraph (2A) insert— (2B) In sub-paragraph (1B) “Violent Patient Scheme” means a scheme set up in accordance with the Primary Medical Services (Directed Enhanced Services) Directions to provide primary medical services to those removed from a contractor’s list of patients under paragraph (1). . Removal from the list of patients whose address is unknown 11 In Schedule 2, in paragraph 27(a) (removal from the list of patients whose address is unknown), for “six” substitute “three”.
Schedule 2 Amendments to the National Health Service (Personal Medical Services Agreements) Regulations 2015
Regulation 3 Out of Area Registration 1 In regulation 25(1) (variation of agreements: registered patients from outside practice area), at the end of the paragraph insert “in accordance with paragraph 17 of Schedule 2”. 2 In Schedule 2, in paragraph 17 (application for inclusion in a list of patients)— (a) at the beginning of sub-paragraph (1), for “The” substitute “Subject to sub-paragraph (1C), the”; (b) after sub-paragraph (1) insert— (1A) NHS England may, following consultation with the Local Medical Committee (if any) for the area in which the contractor provides services under the contract, determine that in certain circumstances NHS England’s approval is required before a contractor accepts an application for inclusion in its list of patients in respect of a patient who resides outside the contractor’s practice area. (1B) Where NHS England has made a determination in accordance with sub-paragraph (1A) it must set out the circumstances in which its approval is required in a notice to the contractor. (1C) Where NHS England has made a determination in accordance with sub-paragraph (1A), a contractor may only accept an application for inclusion in its list of patients in respect of a person who resides outside the contractor’s practice area in the circumstances set out in a notice given under sub-paragraph (1B) with NHS England’s approval. . GP Connect 3 After regulation 61 (summary care record) insert— Enabling access to patient records through GP Connect 61A (1) Where the contractor holds a patient’s record on its computerised clinical systems, the contractor must ensure that its computerised clinical systems are configured to enable— (a) GP Connect Access Record HTML and GP Connect Access Record Structured; and (b) GP Connect Update Record. (2) A contractor must take all reasonable steps to ensure that the functionality referred to in paragraph (1) is operational at all times. (3) In this regulation— “GP Connect” means the national service known as GP Connect provided by NHS England which facilitates interconnectivity between computerised clinical systems; “GP Connect Access Record HTML” means the functionality within GP Connect that allows records to be viewed in Hypertext Markup Language by other users of GP Connect for the purpose of direct care to a patient; “GP Connect Access Record Structured” means the functionality within GP Connect that allows records to be viewed in a structured and coded format that is machine readable by other users of GP Connect for the purpose of direct care to a patient; “GP Connect Update Record” means the functionality within GP Connect that allows consultation summaries to be sent electronically to the contractor by other users of GP Connect for integration into the patient’s record; and “patient’s record” means computerised records kept in relation to a patient in accordance with regulation 60(2)(b). . Patient Guidance 4 In regulation 66(5A) (requirement to have and maintain an online presence)— (a) at the end of sub-paragraph (a) omit “and”; (b) at the end of sub-paragraph (b) after “website” insert “, and”; (c) after sub-paragraph (b) insert— (c) the General Practice Patient Guidance published on the NHS England website. . Patient Safety 5 After regulation 67I (collection of data concerning use of online consultation tools and video consultations) insert— Recording and reviewing patient safety events 67J (1) The contractor must register for, and maintain an account with, the LFPSE Service that has administrator rights. (2) In this regulation, “LFPSE Service” refers to the centralised system provided by NHS England to record information and provide data and analysis about events involving patient safety. . Contact with the practice 6 In Schedule 2, in paragraph 5 (contact with the practice)— (a) for sub-paragraph (1) substitute— (1) The contractor must take steps to ensure that all of the following means of contacting the practice are available for patients throughout core hours— (a) by attending the contractor’s practice premises; (b) by telephone; and (c) through the practice’s online consultation tool within the meaning given in regulation 64ZD(2). (1A) The contractor must take steps to ensure that a patient who contacts the contractor through— (a) any of the means listed in sub-paragraph (1)(a) to (c); or (b) a relevant electronic communication method within the meaning given in regulation 64ZE(3); is provided with an appropriate response in accordance with the following sub-paragraphs. ; (b) in sub-paragraph (3)(a), omit “under sub-paragraph (1)”. Directed Enhanced Services 7 In Schedule 2, in paragraph 10(1)(a) (duty of co-operation), for “direction 5 of the Primary Medical Services (Directed Enhanced Services) Directions 2019” substitute “the Primary Medical Services (Directed Enhanced Services) Directions”. 8 In Schedule 2, in paragraph 43(4A) (sub-contracting of clinical matters), for “direction 4 of the Primary Medical Services (Directed Enhanced Services) Directions 2020” substitute “the Primary Medical Services (Directed Enhanced Services) Directions”. 9 In regulation 3 (interpretation), in the appropriate place insert— “Primary Medical Services (Directed Enhanced Services) Directions” means directions relating to provision of enhanced services given to NHS England under section 98A(3) of the Act; . Removal from the list of patients who are violent 10 In Schedule 2, in paragraph 24 (removal from the list of patients who are violent)— (a) in sub-paragraph (1A)(b) for “another provider” to the end substitute “another provider of primary medical services in response to a request for removal under paragraph (1),”; (b) in sub-paragraph (1B)(a) omit from “set up” to “2020”; (c) after sub-paragraph (2A) insert— (2B) In sub-paragraph (1B) “Violent Patient Scheme” means a scheme set up in accordance with the Primary Medical Services (Directed Enhanced Services) Directions to provide primary medical services to those removed from a contractor’s list of patients under paragraph (1). . Removal from the list of patients whose address is unknown 11 In Schedule 2, in paragraph 27(a) (removal from the list of patients whose address is unknown), for “six” substitute “three”.
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