Revising PNAs and supplementary statements
|
|
- Gervais Lindsey
- 5 years ago
- Views:
Transcription
1 OCTOBER 2012 Introduction The White Paper Pharmacy in England: Building on strengths delivering the future was published by the Department of Health in April It highlighted the variation in the structure and data requirements of PCT pharmaceutical needs assessments (PNAs) and confirmed that they required further review and strengthening to ensure they are an effective and robust commissioning tool which supports PCT decisions. The Health Act 2009 amended the National Health Service Act 2006 to include provisions for regulations to set out the minimum standards for PNAs. The NHS (Pharmaceutical Services and Local Pharmaceutical Services) (Amendment) Regulations 2010 come into force on 24 May 2010 and placed a statutory duty on each PCT to develop and publish their first PNA by 1 February The NHS (Pharmaceutical Services) Regulations 2012 (the 2012 Regulations) came into force on 1 September 2012 and require PCTs to publish a revised assessment within three years of its previous one. Although PCTs will cease to exist from 1 April 2013, they are required to keep their PNAs up-to-date and, where they identify changes to the availability of pharmaceutical services, to either revise the assessment and/or issue a supplementary statement. PCT duties The 2012 Regulations set out a number of duties on PCTs with regards their PNA. As noted above the first of these is unlikely to be of relevant to PCTs namely that each PCT must publish a revised assessment within three years of publishing their first PNA ie no later than 1 February 2014 (Regulation 6(1)(b)). Another duty is that if PCTs merge then the newly formed PCT must publish a revised assessment within ten months (Regulation 6(1)(a))). It should be noted that as the clustering of PCTs will not result in the coming into force of any order under section 18 of the NHS Act 2006 varying a PCT s area, then this is also unlikely to be an issue for PCTs in the run-up to 31 March There are however two duties within Regulation 6 that PCTs will need to consider. The first is Regulation 6(2) which requires a PCT to make a revised assessment as soon as is reasonably practicable after identifying changes since the publication of its pharmaceutical needs assessment which are relevant to the granting of applications referred to in section 129(2)(c)(i) or (ii) of the 2006 Act, (regulations as to pharmaceutical services), unless it is satisfied that making a revised assessment would be a disproportionate response to those changes. Primary Care Commissioning 1
2 The second is Regulation 6(3) which provides for supplementary statements (see below for further information on these): Pending the publication of a statement of a revised assessment, a Primary Care Trust may publish a supplementary statement explaining changes to the availability of pharmaceutical services since the publication of its pharmaceutical needs assessment (and any such supplementary statement becomes part of that assessment), where (a) the changes are relevant to the granting of applications referred to in section 129(2)(c)(i) or (ii) of the 2006 Act; and (b) the Primary Care Trust (i) is satisfied that making a revised assessment would be a disproportionate response to those changes, or (i) is in course of making a revised assessment and is satisfied that immediate modification of its pharmaceutical needs assessment is essential in order to prevent significant detriment to the provision of pharmaceutical services in its area. Although PCTs have clustered, PCTs remain the statutory body and therefore each PCT is required to have a PNA. The 2012 Regulations do not allow for one PNA to cover a cluster. This paper looks at these two regulatory requirements in more detail. Delegation of pharmaceutical services functions The PCT board may wish to formally delegate the duties outlined above to a committee, sub-committee or officer of the PCT. For some PCTs this may be the committee that oversaw the development of the first PNA. For others it may be their pharmacy applications decision making committee. In delegating these duties it is essential that PCT boards ensure they comply with the requirements of the National Health Services (Functions of Strategic Health Authorities and Primary Care Trusts and Administration Arrangements) (England) Regulations A separate PCC briefing is available on this issue 2. PCTs are advised to fully document their reasons for all decisions made under Regulation 6. There are no appeal rights to the NHS Litigation Authority s Family Health Service Unit (FHSAU) therefore if a party feels they have been disadvantaged by a PCT decision their only option is to seek recourse via the courts. Supplementary statements Supplementary statements are statements of fact; they are not an assessment of need. For example, the PNA identified the need for a new pharmacy in a particular locality to provide a range of services. An application offering to meet that need in full is duly received and determined by the PCT and the pharmacy subsequently opens. The PCT cannot issue a supplementary statement saying that the identified need has been met; it could only come to that conclusion after revising its PNA and there is evidence to support that conclusion. 1 Statutory Instrument Primary Care Commissioning 2
3 Supplementary statements are a way of updating what the PNA says about which services are provided and where. They are not a way of updating what the PNA says about needs. Template supplementary statements can be found on the PCC website 3. Once issued, a supplementary statement becomes part of the PNA (Regulation 6(3)). Further information on supplementary statements can be found in chapter 2 of the PNA information document issued by DH 4. Decision-making process Regulation 6(2) and (3) is fairly complicated at first reading and it is best to break it down into component parts. A flowchart has been developed to help work through the requirements and can be found in appendix 1. It may be helpful to have it to hand whilst reading the remainder of this paper. a) Identifying changes Firstly the PCT will need to ensure that it regularly reviews the provision of pharmaceutical services in its area in order that it is able to identify changes. This will require a system to be put in place so that changes are identified. Such changes could include: Opening or closing of pharmacy and dispensing appliance contractors premises Commencement or cessation (either in total or to a particular locality) of the provision of pharmaceutical services by doctors Relocations of premises Determinations of areas that are, or are no longer, rural in character (controlled localities) Changes in opening hours Changes in the services that are provided by pharmacies and dispensing appliance contractors. b) Are the changes relevant? If changes are identified the PCT will then need to make a decision as to whether those changes are relevant to the granting of applications referred to in section 129(2)(c)(i) or (ii) of the 2006 Act. Such applications are those submitted under Regulation 12 of the NHS (Pharmaceutical Services) Regulations 2012 ie routine applications. In this document such applications are referred to as market entry applications nce/dh_ Gateway reference Primary Care Commissioning 3
4 For example, if the only pharmacy in a deprived area closed then it is likely that the PCT would view this change as relevant to the granting of an application for a new pharmacy in that locality. Alternatively an exempt pharmacy may open in an area where the PNA didn t identify the need for a new pharmacy or for particular services. In this example as the PNA didn t identify a need the PCT may decide that the change is not relevant to the granting of an application for another pharmacy. The PCT will need to ensure it fully documents: the change in the availability of pharmaceutical services its decision as to whether the change is relevant or not, and its reasons for coming to that decision. Where the PCT is satisfied that a change isn t relevant to the granting of control of entry applications, then the change will still need to be included in the PNA when it is revised. c) Is revising the PNA a proportionate or disproportionate response? Once the PCT has identified that the changes are relevant to the granting of market entry applications, the next step is to check whether the PNA is already being revised. If it is then the PCT will need to decide whether it needs to issue a supplementary statement (see paragraph (e) below). If the PCT is not already revising its PNA then it will need to decide whether revising the PNA is a disproportionate response to identifying a change. PCTs will wish to note that the starting point in Regulation 6(2) is that revising the PNA is the appropriate response, unless the PCT is satisfied this is a disproportionate response. PCTs will therefore need to consider all relevant factors in order to be satisfied that revising the PNA is a disproportionate response rather than starting on the basis that revising the PNA is a disproportionate response unless the evidence says otherwise. As there are no appeal rights against decisions made under Regulation 6, and no court decisions that can be referred to, PCTs will need to consider all the relevant factors before coming to a decision. In some instances it may be relatively easy to decide whether revising the PNA is a proportionate or disproportionate response: A pharmacy in a deprived area to which no other primary care contractor provides services closes. The PCT identifies this change to the availability of pharmaceutical services and decides that based on the facts it is relevant to the granting of control of entry applications. It is not currently revising its PNA. After taking into account all the relevant factors the PCT is satisfied that the PNA needs to be revised in order that it identifies the precise need for pharmaceutical services in that locality. The PCT is also satisfied that it needs to immediately modify its PNA in order to prevent detriment to the provision of pharmaceutical services in its area. A pharmacy notifies the PCT of its intention to reduce its supplementary hours by closing 30 minutes earlier, Monday to Friday. Within the locality there are a number of other pharmacies offering extended core hours and the Primary Care Commissioning 4
5 PNA identifies no gaps in opening hours. The PCT identifies this change to the availability of pharmaceutical services and decides that based on the facts it is not relevant to the granting of control of entry applications due to the number of pharmacies offering extended core hours. A note however is made to incorporate this change when the PNA is revised. Further examples can be found in the PNA information document issued by DH. If the change is likely to lead to a need for pharmaceutical services, or if it may have met a need identified in the PNA, then it is likely that the PCT will decide that it is necessary to revise its PNA. It is important to remember that the document identifies the need for pharmaceutical services, and therefore if a change in the availability of pharmaceutical services is likely to create a need or fill an identified need revising the PNA is likely to be the proportionate response. If the PCT decides that revising the PNA is a proportionate response then it starts the process of doing so. It should be noted that this will include consultation as required by Regulation 8 of the 2012 Regulations. It will also need to consider whether it is satisfied that it needs to issue a supplementary statement to immediately modify the PNA in order to prevent detriment to the provision of pharmaceutical services in its area (see section (d) below). If the PCT decides that revising its PNA would be a disproportionate response then it will need to consider whether it needs to issue a supplementary statement see section (e) below. d) Revising the PNA is a proportionate response and supplementary statements Where the PCT is satisfied that revising the PNA is a proportionate response then it will also need to consider whether it is satisfied that immediate modification of the PNA is essential in order to prevent detriment to the provision of pharmaceutical services in its area. If it is so satisfied then it is required to issue a supplementary statement. If it is not so satisfied then it continues with revising the PNA. For example, the PNA identified the need for a pharmacy providing a range of services in a particular locality. An application is duly received and approved, and in due course the pharmacy opens. The PCT identifies that this change is relevant to the granting of control of entry applications and is satisfied that it needs to revise its PNA to identify whether the need has indeed been met. It is also satisfied that it needs to issue a supplementary statement explaining the change in the provision of pharmaceutical services as the PNA didn t identify the need for two pharmacies and therefore the PCT is satisfied that a second pharmacy may be detrimental as the population is not sufficient to warrant two pharmacies in the locality. It therefore issues a supplementary statement. e) Revising the PNA is a disproportionate response and supplementary statements Where the PCT is satisfied that revising the PNA is a disproportionate response or where it is already revising its PNA, then it will need to consider whether it is necessary to publish a supplementary statement to explain the change to the availability of pharmaceutical services. If the PCT is so satisfied then it may issue a Primary Care Commissioning 5
6 supplementary statement. If the PCT is not satisfied then it will need to incorporate the change into the PNA when it is next revised. Summary and conclusion PCTs are required to keep their PNAs up-to-date and, where they identify changes to the availability of pharmaceutical services, to either revise the assessment and/or issue a supplementary statement. PCTs are advised to ensure: The PCT board has duly delegated these duties, That systems are put in place to identify changes to the availability of pharmaceutical services, Processes are developed and followed to work through the requirements of Regulation 6, and All decisions made are fully reasoned and documented. Due to the risk of legal challenge, PCTs may like to include revising the PNA in their risk register particularly as they are now the basis for the submission of routine applications under the 2012 Regulations. From 1 April 2013 PNAs will transfer to Health and Wellbeing boards (HWBs). It is recommended that if a PCT begins to revise its assessment that it engages with the local HWB at the outset. The DH s Advisory Group is drafting the regulations that will reflect the roles of the Commissioning Board and HWBs from 1 April and further details on the transfer of responsibilities will be made available in due course. Primary Care Commissioning 6
7 Appendix 1 Revising PNAs and supplementary statements flowchart (a) and (b). The PCT regularly reviews the provision of pharmaceutical services in its area and identifies a change since the publication of its PNA. Is it relevant to the granting of control of entry applications? (c) Is the PCT currently revising its PNA? (b) Incorporate change into PNA when next revised. (c) Is revising the PNA a proportionate response? (c) Start the process of developing a revised PNA. This includes full consultation. (e) Does the PCT need to issue a supplementary statement explaining the changes to the availability of pharmaceutical services? (d) Is the PCT satisfied that it needs to immediately modify the PNA in order to prevent detriment to the provision of pharmaceutical services in its area? (e) Issue a supplementary statement explaining the changes to the availability of pharmaceutical services. (e) Incorporate change into PNA when next revised. (d) Continue with revising the PNA. (d) Issue a supplementary statement explaining the changes to the availability of pharmaceutical services. te All decisions should be made by a committee, subcommittee or officer of the PCT to whom this function has been delegated. All decisions made should be documented. Each step is referenced back to the relevant paragraph in the main body of the document. Primary Care Commissioning 7
Guidance on the terms of service relating to opening hours for pharmacy contractors
Guidance on the terms of service relating to opening hours for pharmacy contractors NOVEMBER 2012 Overview The terms of service requirements for pharmacy contractor opening hours are set out in Schedule
More informationGOS contract changes information sheet
GOS contract changes information sheet March 2012 GOS contract This shows the additions to the standard contract that the PCTs have made. Section No Prior to part 1 Header [PCT to add name of practice
More informationPHARMACEUTICAL SERVICES NEGOTIATING COMMITTEE CONSTITUTION
1. Definition & Interpretation 2. Title PHARMACEUTICAL SERVICES NEGOTIATING COMMITTEE CONSTITUTION 1.1 Pharmaceutical Services Negotiating Committee and PSNC means the body referred to in paragraph 2(3)
More informationCONSTITUTION of the KENT LOCAL PHARMACEUTICAL COMMITTEE. The Act means the National Health Service Act 2006, as amended.
CONSTITUTION of the KENT LOCAL PHARMACEUTICAL COMMITTEE 1. Definitions In this Constitution The Act means the National Health Service Act 2006, as amended. Chief Officer means the person employed or engaged
More informationGuidance on redemption of NHS optical vouchers
Guidance on redemption of NHS optical vouchers This guidance describes the arrangements for requesting information about optical vouchers and redemption of optical vouchers following the introduction of
More informationCommunity Dental Services
Community Dental Services Contents of this chapter: 1. Background to contracting for community dental services 2. How the NHS Act provides for different types of dental contracts 3. General dental services
More information2010 No. 231 HEALTH CARE AND ASSOCIATED PROFESSIONS. The Pharmacy Order 2010
S T A T U T O R Y I N S T R U M E N T S 2010 No. 231 HEALTH CARE AND ASSOCIATED PROFESSIONS The Pharmacy Order 2010 Made - - - - 10th February 2010 Coming into force in accordance with article 1 1. Citation
More informationPolicy for termination of primary dental care contracts and agreements
Policy for termination of primary dental care contracts and agreements Policy for termination of primary dental care contracts and agreements Standard operating policies and procedures for primary care
More informationStandard GMS Contract Variation Notice March 2006 STANDARD GENERAL MEDICAL SERVICES CONTRACT VARIATION NOTICE MARCH 2006
STANDARD GENERAL MEDICAL SERVICES CONTRACT VARIATION NOTICE MARCH 2006 The text of the Standard General Medical Services Variation Notice March 2006 has been prepared for use in Wales by the National Assembly
More informationManaging disputes for primary medical services
Managing disputes for primary medical services Managing disputes for primary medical services Standard operating policies and procedures for primary care Issue Date: June 2013 Document Number: OPS_1021
More informationCIArb/IMPRESS ARBITRATION SCHEME RULES ( the Rules ) FOR USE IN ENGLAND, WALES, SCOTLAND, AND NORTHERN IRELAND
CIArb/IMPRESS ARBITRATION SCHEME RULES ( the Rules ) FOR USE IN ENGLAND, WALES, SCOTLAND, AND NORTHERN IRELAND 1 CIArb/IMPRESS ARBITRATION SCHEME RULES ( the Rules ) FOR USE IN ENGLAND, WALES, SCOTLAND,
More information2009 No. 183 NATIONAL HEALTH SERVICE. The National Health Service (Pharmaceutical Services) (Scotland) Regulations 2009
SCOTTISH STATUTORY INSTRUMENTS 2009 No. 183 NATIONAL HEALTH SERVICE The National Health Service (Pharmaceutical Services) (Scotland) Regulations 2009 Made - - - - 14th May 2009 Laid before the Scottish
More informationTHE UNITED REFORMED CHURCH. and THE PLANNING (LISTED BUILDINGS AND CONSERVATION AREAS) ACT 1990 PROCEDURE FOR CONTROL OF WORKS TO BUILDINGS
THE UNITED REFORMED CHURCH and THE PLANNING (LISTED BUILDINGS AND CONSERVATION AREAS) ACT 1990 PROCEDURE FOR CONTROL OF WORKS TO BUILDINGS 2007 EDITION THE UNITED REFORMED CHURCH and THE PLANNING (LISTED
More informationHEALTH AND PERSONAL SOCIAL SERVICES. Coming into operation... 6 October 1997
01.04.10 STATUTORY RULES OF NORTHERN IRELAND 1997 No. 381 HEALTH AND PERSONAL SOCIAL SERVICES PHARMACEUTICAL SERVICES REGULATIONS (NORTHERN IRELAND) 1997 Made... 15 August1997 Coming into operation...
More informationPractical Guidance on the sharing of information and information governance for all NHS organisations specifically for Prevent and the Channel process
Page 1 of 15 Practical Guidance on the sharing of information and information governance for all NHS organisations specifically for Prevent and the Channel process Page 2 of 15 NHS England Information
More informationTransfer from a personal dental services agreement to a general dental services contract
Transfer from a personal dental services agreement to a general dental services contract Policy on the management of request to transfer from a personal dental services (PDS) agreement to a general dental
More informationEnforcement guidelines. October 2015
Enforcement guidelines October 2015 1 INTRODUCTION 1.1 Background Under the Electricity Act 1994 (Qld) (Electricity Act), Gas Supply Act 2003 (Qld) (Gas Act) the QCA is responsible for enforcing the Electricity
More informationNHS England Standard Alternative Provider Medical Services Contract 2014/15
NHS England Standard Alternative Provider Medical Services Contract 2014/15 NHS England Standard Alternative Provider Medical Services Contract 2014/15 Version number: 1.0 First published: June 2014 Prepared
More informationGPhC prosecution policy
Council meeting 10 November 2011 09.11/C/04 Public business GPhC prosecution policy Purpose To consider a prosecution policy for the GPhC. Recommendation The Council is asked to agree the GPhC prosecution
More informationThe General Ophthalmic Services Contracts Regulations 2008
STATUTORY INSTRUMENTS 2008 No. 1185 NATIONAL HEALTH SERVICE, ENGLAND The General Ophthalmic Services Contracts Regulations 2008 Made - - - - - 28th April 2008 Laid before Parliament 6th May 2008 Coming
More information2017 No (L. 16) MENTAL CAPACITY, ENGLAND AND WALES. The Court of Protection Rules 2017
S T A T U T O R Y I N S T R U M E N T S 2017 No. 1035 (L. 16) MENTAL CAPACITY, ENGLAND AND WALES The Court of Protection Rules 2017 Made - - - - 26th October 2017 Laid before Parliament 30th October 2017
More informationNHS ENGLAND Standard General Medical Services Contract Variation Notice February 2017
Standard General Medical Services Contract Variation Notice February 2017 2 Standard General Medical Services Contract Variation Notice February 2017 The text of the Standard General Medical Services Variation
More informationPhotovoltaic Inverter Network Connection Agreement
Photovoltaic Inverter Network Connection Agreement Power and Water Corporation (PWC) ABN: 15 947 352 360 / / (Day/Month/Year) Customer: Customer s ABN: (Commercial Customers Only) Note to customers 1.
More informationModel letters for use by the Contractor
178 Appendices Model letters for use by the Contractor Letter to the Engineer c.c. Employer ML 1.3 Sub - Clause 1.3 Communications We confirm the agreement made between us on (date) in respect of site
More informationBylaws of the Prescription Monitoring Information exchange Working Group
Bylaws of the Prescription Monitoring Information exchange Working Group ` Table of Contents Table of Contents... 2 Article I. Introduction... 6 Article II. Purpose... 6 Article III. Membership... 6 Article
More informationMENTAL CAPACITY (AMENDMENT) BILL [HL] EXPLANATORY NOTES ON COMMONS AMENDMENTS
MENTAL CAPACITY (AMENDMENT) BILL [HL] EXPLANATORY NOTES ON COMMONS AMENDMENTS What these notes do These Explanatory Notes relate to the Commons amendments to the Mental Capacity (Amendment) Bill [HL] as
More informationPRACTICE DIRECTION CASE MANAGEMENT PILOT PART 1 GENERAL
PRACTICE DIRECTION CASE MANAGEMENT PILOT PART 1 GENERAL 1.1 This Practice Direction is made under rule 9A of the Court of Protection Rules 2007 ( CoPR ). It provides for a pilot scheme for the management
More informationACPO Guidance on the Management of Business Interests and Additional Occupations for Police Officers and Police Staff
Draft revised guidance for consideration of Police Advisory Board (July 2012) ACPO Guidance on the Management of Business Interests and Additional Occupations for Police Officers and Police Staff The Association
More informationStatutory Notifications see CQC Statutory Notifications Guidance
The Care Quality Commission (Registration) Regulations 2009 Statement of purpose 12 (1) The registered person must give the Commission a statement of purpose containing the information listed in Schedule
More informationThe 2017 ICC Rules of Arbitration and the New ICC Expedited Procedure Provisions A View from Inside the Institution
2017 ISSUE 1 63 ICC PRACTICE AND PROCEDURE The 2017 ICC Rules of Arbitration and the New ICC Expedited Procedure Provisions A View from Inside the Institution José Ricardo Feris José Ricardo Feris is Deputy
More informationLiquor Licensing. Standard Operating Procedure
Liquor Licensing Standard Operating Procedure Notice: This document has been made available through the Police Service of Scotland Freedom of Information Publication Scheme. It should not be utilised as
More informationCENTER FOR DEVICES AND RADIOLOGICAL HEALTH (CDRH)
CENTER FOR DEVICES AND RADIOLOGICAL HEALTH (CDRH) STANDARD OPERATING PROCEDURE (SOP) FOR RESOLUTION OF INTERNAL DIFFERENCES OF OPINION IN REGULATORY DECISION-MAKING TABLE OF CONTENTS: 1. Purpose 2. Background
More informationNHS WILTSHIRE CLINICAL COMMISSIONING GROUP CONSTITUTION
NHS WILTSHIRE CLINICAL COMMISSIONING GROUP CONSTITUTION Version 4 (May 2017) NHS England Effective Date: 12 May 2017 [Page left intentionally blank] FOREWORD We are delighted to present the constitution
More informationDisability Discrimination Act CHAPTER 13 CONTENTS. Go to Preamble. Public authorities
Disability Discrimination Act 2005 2005 CHAPTER 13 CONTENTS Go to Preamble Public authorities 1. Councillors and members of the Greater London Authority 2. Discrimination by public authorities 3. Duties
More informationHealth and Social Care Act 2008
Health and Social Care Act 2008 2008 CHAPTER 14 An Act to establish and make provision in connection with a Care Quality Commission; to make provision about health care (including provision about the National
More informationBILATERAL AGREEMENT ON THE LEGAL PROFESSION UNIFORM FRAMEWORK
INTERGOVERNMENTAL AGREEMENT BILATERAL AGREEMENT ON THE LEGAL PROFESSION UNIFORM FRAMEWORK The State of New South Wales The State of Victoria BILATERAL AGREEMENT ON THE LEGAL PROFESSION UNIFORM FRAMEWORK
More informationFIDIC Conditions of Contract for Construction
FIDIC Conditions of Contract for Construction 1 1 General Provisions 2 1 1.1 Definitions 1.1.1 The Contract Contract means the Contract Agreement, the Letter of Acceptance, the Letter of Tender, these
More informationUpdate to the NHS Terms and Conditions: January Summary of Changes
Update to the NHS Terms and Conditions: January 2018 Summary of s February 2018 Note: Most of the changes are considered self-explanatory. Where the Department of Health and Social Care ( DHSC ) considers
More informationCONSTITUTION NHS CAMDEN CLINICAL COMMISSIONING GROUP. Version 3.2a April 2015
CONSTITUTION OF NHS CAMDEN CLINICAL COMMISSIONING GROUP Version 3.2a April 2015 Document Reference Information Version 3.2a Status Approved Author/Lead Stuart Dalton Directorate Responsible Corporate Affairs
More informationData Processing Agreement
Data Processing Agreement This Data Protection Addendum ("Addendum") forms part of the Master Subscription Agreement ("Principal Agreement") between: (i) Inspectlet ("Vendor") acting on its own behalf
More information2008 No. 29 NATIONAL HEALTH SERVICE, WALES. The Alternative Provider Medical Services (Wales) Directions 2008
SUBORDINATE LEGISLATION 2008 No. 29 NATIONAL HEALTH SERVICE, WALES The Alternative Provider Medical Services (Wales) Directions 2008 Made - - - - 15 th September 2008 Coming into force - - 16 th September
More informationREGULATION VARIANCES OR EXEMPTIONS
REGULATION VARIANCES OR EXEMPTIONS Follow-up Report #3 submitted to the ROYAL COMMISSION ON WORKERS COMPENSATION IN BRITISH COLUMBIA Prepared by the OHS Legislation Research Team (Legal Consultants) being:
More informationInvestigatory Powers Bill
Investigatory Powers Bill [AS AMENDED ON REPORT] CONTENTS PART 1 GENERAL PRIVACY PROTECTIONS Overview and general privacy duties 1 Overview of Act 2 General duties in relation to privacy Prohibitions against
More informationNSCA Research Committee (RC) Policies and Procedures
NSCA Research Committee (RC) Policies and Procedures Developed and Approved by the NSCA Research Committee September 2018 Table of Contents I. Goals and Objectives A. Goals of Research Committee... 2 B.
More informationCommunity Care (Delayed Discharges etc.) Bill
Community Care (Delayed Discharges etc.) Bill [AS AMENDED IN COMMITTEE] CONTENTS PART 1 DELAYED DISCHARGE PAYMENTS Preliminary 1 Meaning of NHS body and qualifying hospital patient Determination of need
More informationElectricity Supply Act 1995 No 94
New South Wales Electricity Supply Act 1995 No 94 Contents Part 1 Preliminary 1 Name of Act 2 Commencement 3 Objects 4 Definitions 5 Act binds Crown Page 2 2 2 2 2 Part 2 Network operations and wholesale
More informationDeath of a contractor in primary medical services
Death of a contractor in primary medical services Death of a contractor in primary medical services Standard operating policies and procedures for primary care Issue Date: June 2013 Document Number: OPS_1018
More informationAGE OF CRIMINAL RESPONSIBILITY (SCOTLAND) BILL
AGE OF CRIMINAL RESPONSIBILITY (SCOTLAND) BILL DELEGATED POWERS MEMORANDUM INTRODUCTION 1. This memorandum has been prepared by the Scottish Government in accordance with Rule 9.4A of the Parliament s
More informationTITLE 1 GENERAL ADMINISTRATION CHAPTER 1 TOWN COUNCIL 1
1-1 CHAPTER 1. TOWN COUNCIL. 2. MAYOR. 3. TOWN MANAGER. 4. TOWN CLERK. 5. CODE OF ETHICS. TITLE 1 GENERAL ADMINISTRATION CHAPTER 1 TOWN COUNCIL 1 SECTION 1-101. Time and place of regular meetings. 1-102.
More information2018 No. (W. ) TAXES, WALES. The Welsh Revenue Authority (Powers to Investigate Criminal Offences) Regulations 2018
Draft Regulations laid before the National Assembly for Wales under section 114ZA(4) of the Police and Criminal Evidence Act 1984 and section 67A(4) of the Criminal Justice and Police Act 2001, for approval
More informationRECOGNITION MODULE (REC) RULE-MAKING INSTRUMENT (No. 153) 2015
RECOGNITION MODULE (REC) RULE-MAKING INSTRUMENT (No. 153) 2015 The Board of the Dubai Financial Services Authority in the exercise of the powers conferred on them by Article 23 of the Regulatory Law 2004,
More informationUniversity Hospital Birmingham NHS Foundation Trust
University Hospital Birmingham NHS Foundation Trust Board of Directors Executive Appointments and Remuneration Committee Terms of Reference (v3.0/02-2017) Reference to the Committee shall mean the Executive
More informationArbitration Act 1996
Arbitration Act 1996 An Act to restate and improve the law relating to arbitration pursuant to an arbitration agreement; to make other provision relating to arbitration and arbitration awards; and for
More informationSCOTTISH AMBULANCE SERVICE CODE OF CORPORATE GOVERNANCE. Approved: Scottish Ambulance Service Board Date January Review Date: January 2016
CODE OF CORPORATE GOVERNANCE Approved: Scottish Ambulance Service Board Date January 2015 Review Date: January 2016 Page 1 of 62 I N D E X SECTION 1 HOW BUSINESS IS ORGANISED A. Constitution and Membership
More information4 YEARLY REVIEW OF MODERN AWARDS
4 YEARLY REVIEW OF MODERN AWARDS Further Submission Plain Language Re-Drafting Cleaning Services Award 2010 (AM2016/15) 24 July 2018 4 YEARLY REVIEW OF MODERN AWARDS AM2016/15 PLAIN LANGUAGE RE DRAFTING
More informationArbitration Act CHAPTER Part I. Arbitration pursuant to an arbitration agreement. Introductory
Arbitration Act 1996 1996 CHAPTER 23 1 Part I Arbitration pursuant to an arbitration agreement Introductory 1. General principles. 2. Scope of application of provisions. 3. The seat of the arbitration.
More informationThe Medicines (Traditional Herbal Medicinal Products for Human Use) Regulations 2005
STATUTORY INSTRUMENTS 2005 No. 2750 MEDICINES The Medicines (Traditional Herbal Medicinal Products for Human Use) Regulations 2005 Made - - - - - 6th October 2005 Laid before Parliament 7th October 2005
More information2010 No. 791 COPYRIGHT
STATUTORY INSTRUMENTS 2010 No. 791 COPYRIGHT The Copyright Tribunal Rules 2010 Made - - - - 15th March 2010 Laid before Parliament 16th March 2010 Coming into force - - 6th April 2010 The Lord Chancellor
More informationDispute Resolution Service Procedure
Dispute Resolution Service Procedure DISPUTE RESOLUTION SERVICE POLICY VERSION 3 - JULY 2008 (APPLIES TO ALL DISPUTES FILED ON OR AFTER 29 JULY 2008) (VERSION 2 APPLIED TO DISPUTES FILED BETWEEN 25 OCTOBER
More informationIVORY BILL. Memorandum from the Department for Environment Food and Rural Affairs to the Delegated Powers and Regulatory Reform Committee
IVORY BILL Memorandum from the Department for Environment Food and Rural Affairs to the Delegated Powers and Regulatory Reform Committee A. INTRODUCTION 1. This memorandum has been prepared for the Delegated
More informationEnvironmental Planning and Assessment Regulation 2000
New South Wales Environmental Planning and Assessment Regulation 2000 under the Environmental Planning and Assessment Act 1979 His Excellency the Governor, with the advice of the Executive Council, has
More informationSanctions Policy August 2016
Sanctions Policy August 2016 SANCTIONS POLICY Contents Section 1 Overview of the policy... 1 Section 2 About sanctions... 3 Section 3 Reviewing a sanction... 5 Section 4 Appeals against sanctions... 5
More informationSmoking, Health and Social Care (Scotland) Bill [AS PASSED]
Smoking, Health and Social Care (Scotland) Bill [AS PASSED] CONTENTS Section PART 1 SMOKING: PROHIBITION AND CONTROL 1 Offence of permitting others to smoke in no-smoking premises 2 Offence of smoking
More informationLicensing Committee 20 th July 2015
Licensing Committee 20 th July 2015 Title Scrap Metal Dealers Policy Report of Commissioning Director for Environment Wards Status Enclosures All Public Appendix 1 Draft Scrap Metal Dealers Policy Officer
More informationQUEEN S BENCH DIVISION ADMINISTRATIVE COURT B E T W E E N THE QUEEN on the application of GOOD LAW PROJECT LIMITED Claimant - and
IN THE HIGH COURT OF JUSTICE CLAIM NO: CO/771/2019 QUEEN S BENCH DIVISION ADMINISTRATIVE COURT B E T W E E N THE QUEEN on the application of GOOD LAW PROJECT LIMITED Claimant - and THE SECRETARY OF STATE
More informationArbitration Act of United Kingdom United Kingdom of Great Britain and Northern Ireland
Arbitration Act of United Kingdom United Kingdom of Great Britain and Northern Ireland (Royaume-Uni - Royaume-Uni de Grande-Bretagne et d'irlande du Nord) ARBITRATION ACT 1996 1996 CHAPTER 23 An Act to
More informationGuidance on consumer enforcement CAP 1018
Guidance on consumer enforcement CAP 1018 Contents Published by the Civil Aviation Authority, 2016 Civil Aviation Authority, Aviation House, Gatwick Airport South, West Sussex, RH6 0YR. You can copy and
More informationSuspension and removal procedure for statutory committee members
Council meeting 15 September 2011 Public business Suspension and removal procedure for statutory committee members Purpose To consider the procedure for the suspension and/or removal of a member of a statutory
More informationRULES OF ARBITRATION
RULES OF ARBITRATION IN FORCE AS FROM 1 NOVEMBER 2016 Palais Brongniart, 16 place de la Bourse, 75002 Paris, France www.delosdr.org. secretariat@delosdr.org MODEL CLAUSES... 2 SEAT AND LANGUAGES S CHEDULES
More informationBureau of Political-Military Affairs; Modification of Statutory Debarment. Regulations - Rocky Mountain Instrument Company
This document is scheduled to be published in the Federal Register on 05/09/2016 and available online at http://federalregister.gov/a/2016-10843, and on FDsys.gov Billing Code: 4710-25 DEPARTMENT OF STATE
More informationFOOD SERVICE ADVISORY COMMITTEE (FSAC) BY-LAWS
FOOD SERVICE ADVISORY COMMITTEE (FSAC) BY-LAWS Committee Purpose: This committee serves in an advisory capacity to the Executive Vice President for Administration and Finance and the Associate Vice President
More informationNORTHEAST OHIO MEDICAL UNIVERSITY. POLICY TITLE: Administrative Policy Regarding Persona Non Grata Status
(A) PURPOSE To establish a Policy to identify persons whose presence on the University campus may be Detrimental to the University Community and to provide a mechanism for limiting the person s access
More information1996 No ROAD TRAFFIC
S T A T U T O R Y I N S T R U M E N T S 1996 No. 2489 ROAD TRAFFIC The Local Authorities' Traffic Orders (Procedure) (England and Wales) Regulations 1996 Made - - - - 26th September 1996 Laid before Parliament
More informationNHS ENGLAND Standard Personal Medical Services Agreement Variation Notice May 2018
Standard Personal Medical Services Agreement Variation Notice May 2018 Standard Personal Medical Services Agreement Variation Notice May 2018 NHS England INFORMATION READER BOX Directorate Medical Operations
More informationPRIVATE INTERNATIONAL LAW : CONFLICT OF LAWS
Arbitration under the Arbitration Act 1996 Aim: To provide a clear outline of the principal issues relating to the legally binding resolution of conflict of laws disputes via arbitration under the Arbitration
More informationCHARTER AGREEMENT. 1. Term. 2. Charter School a North Carolina Public School. 3. Application Binding
CHARTER AGREEMENT Pursuant to G.S. 115C-218et seq. the North Carolina State Board of Education (hereinafter referred to as SBE ) grants this license to East Wake First Charter School. (hereinafter referred
More informationDisciplinary Policy and Procedure
Disciplinary Policy and Procedure November 2017 Signed (Chair of Trustees): Date: November 2017 Date of Review: November 2018 The Arbor Academy Trust reviews this policy annually. The Trustees may, however,
More informationPROJET DE LOI ENTITLED. The Medicines (Human and Veterinary) (Bailiwick of Guernsey) Law, 2008 * [CONSOLIDATED TEXT] NOTE
PROJET DE LOI ENTITLED The Medicines (Human and Veterinary) (Bailiwick of Guernsey) Law, 2008 * [CONSOLIDATED TEXT] NOTE This consolidated version of the enactment incorporates all amendments listed in
More informationSECURITIES AND FUTURES (STOCK MARKET LISTING) RULES (NO. 5 OF 2002, SECTION 36(1)) ARRANGEMENT OF SECTIONS PART I PRELIMINARY. 1. Commencement...
Annex 1 SECURITIES AND FUTURES (STOCK MARKET LISTING) RULES (NO. 5 OF 2002, SECTION 36(1)) ARRANGEMENT OF SECTIONS PART I PRELIMINARY No. Page 1. Commencement... 3 2. Interpretation.... 3 PART II STOCK
More informationSafeguarding your drinking water quality
Safeguarding your drinking water quality Enforcement Policy February 2015 Introduction The Drinking Water Quality Regulator for Scotland (DWQR) is the independent regulator of drinking water for Scotland.
More informationBERMUDA COPYRIGHT TRIBUNAL RULES 2014 BR 11 / 2014
QUO FA T A F U E R N T BERMUDA COPYRIGHT TRIBUNAL RULES 2014 BR 11 / 2014 TABLE OF CONTENTS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 PART 1 PRELIMINARY Citation Interpretation Overriding objective Tribunal
More informationJAPAN INTERNATIONAL COOPERATION AGENCY (JICA) OBJECTION PROCEDURES BASED ON THE GUIDELINES FOR ENVIRONMENTAL AND SOCIAL CONSIDERATIONS (Translation
JAPAN INTERNATIONAL COOPERATION AGENCY (JICA) OBJECTION PROCEDURES BASED ON THE GUIDELINES FOR ENVIRONMENTAL AND SOCIAL CONSIDERATIONS (Translation of Japanese Version) April 2010 1 CONTENTS 1. Policy
More informationStandard Form Contractor Licence
Standard Form Contractor Licence This Contractor Licence is made between: (the Licensee) (1) of [Insert Company Name] [Insert Address] and (the Contractor) (2) of [Insert Company Name] [Insert Address]
More informationReliabilityFirst Corporation Reliability Standards Development Procedure Version 4
ReliabilityFirst Corporation Reliability Standards Development Procedure Version 4 NERC BoT Approved May 24, 2012 ReliabilityFirst Board Approved December 1, 2011 ReliabilityFirst Corporation Reliability
More informationNon-compliance hearings guidance for medical practitioners tribunals
Non-compliance hearings guidance for medical practitioners tribunals Introduction 1 The aim of this guidance is to promote consistency and transparency in decision making relating to non-compliance hearings.
More informationMedicines Act 1968 CHAPTER 67 MEDICINES ACT 1968 PART I ADMINISTRATION
Medicines Act 1968 CHAPTER 67 MEDICINES ACT 1968 PART I ADMINISTRATION 1 Ministers responsible for administration of Act. 2 Establishment of Medicines Commission. 3 General functions of Commission. 4 Establishment
More informationEnvironmental Management Chapter ALABAMA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ADMINISTRATIVE CODE
ALABAMA DEPARTMENT OF ENVIRONMENTAL MANAGEMENT ADMINISTRATIVE CODE CHAPTER 335-2-3 RULES OF PROCEDURE FOR MEETINGS OF THE ALABAMA ENVIRONMENTAL MANAGEMENT COMMISSION TABLE OF CONTENTS 335-2-3-.01 Applicability
More informationIMMIGRATION BILL DELEGATED POWERS MEMORANDUM BY THE HOME OFFICE
IMMIGRATION BILL DELEGATED POWERS MEMORANDUM BY THE HOME OFFICE INTRODUCTION 1. This Memorandum identifies the provisions of the Immigration Bill as introduced in the House of Lords which confer powers
More informationNOTE General Secretariat No. prev. doc.: 16221/12 PI 145 COUR 73 Subject: Minutes of the signing of the Agreement on a Unified Patent Court
COUNCIL OF THE EUROPEAN UNION Brussels, 19 February 2013 6572/13 PI 28 COUR 12 NOTE from: General Secretariat No. prev. doc.: 16221/12 PI 145 COUR 73 Subject: Minutes of the signing of the Agreement on
More informationNO About this consultation paper. Introduction 3. Background 3-5. The Standard of Proof Rule The Proposed New Rules 9-10
INDEX PAGE NO About this consultation paper Introduction 3 Background 3-5 The Standard of Proof Rule 5 5-8 The Proposed New Rules 9-10 Equality Impact Assessment 10 How to Respond 11 Appendix A: Draft
More informationEnvironmental Information Regulations Decision Notice
Environmental Information Regulations 2004 Decision Notice Date: 4 August 2011 Public Authority: Address: Carmarthenshire County Council County Hall Carmarthen Carmarthenshire SA31 1JP Summary The complainant
More informationHALLWOOD HEALTH CENTRE, HOSPITAL WAY, RUNCORN, CHESHIRE, WA7 2UT. DISPUTE RESOLUTION: NHS (PERSONAL MEDICAL SERVICES CONTRACTS) REGULATIONS 2015
28 December 2018 FILE REF: SHA/19967 DECISION MAKING BODY: 1 Trevelyan Square Boar Lane Leeds LS1 6AE Tel: 0113 86 65500 Fax: 0207 821 0029 Email: fhsau@resolution.nhs.uk NHS ENGLAND (CHESHIRE and MERSEYSIDE)
More informationApprenticeships, Skills, Children and Learning Bill
Apprenticeships, Skills, Children and Learning Bill EXPLANATORY NOTES Explanatory notes to the Bill, prepared by the Department for Children, Schools and Families and the Department for Innovation, Universities
More informationSCHEDULE 2 - EXHIBIT 5 DATED [ ] NATIONAL GRID ELECTRICITY TRANSMISSION PLC (1) and [ ] (2) THE CONNECTION AND USE OF SYSTEM CODE BELLA
SCHEDULE 2 - EXHIBIT 5 DATED [ ] NATIONAL GRID ELECTRICITY TRANSMISSION PLC (1) and [ ] (2) THE CONNECTION AND USE OF SYSTEM CODE BELLA [EMBEDDED EXEMPTABLE LARGE POWER STATION WHICH IS SMRS REGISTERED]
More informationCircuit Court for Washington County Case No. 21-K UNREPORTED
Circuit Court for Washington County Case No. 21-K-16-052397 UNREPORTED IN THE COURT OF SPECIAL APPEALS OF MARYLAND No. 1469 September Term, 2017 BRITTANY BARTLETT v. JOHN BARTLETT, III Berger, Reed, Zarnoch,
More informationPROCEEDS OF CRIME (SUPERVISORY BODIES) (VIRTUAL CURRENCY EXCHANGE BUSINESS) (EXEMPTION) (JERSEY) ORDER 2016
PROCEEDS OF CRIME (SUPERVISORY BODIES) (VIRTUAL CURRENCY EXCHANGE BUSINESS) (EXEMPTION) (JERSEY) ORDER 2016 Revised Edition Showing the law as at 1 January 2017 This is a revised edition of the law Proceeds
More informationData Processing Agreement
Data Processing Agreement This Data Processing Agreement ( DPA ) forms an integral part of, and is subject to, the AppsFlyer Services Agreement or the AppsFlyer Terms of Use available at https://www.appsflyer.com/terms-use,
More informationAPPENDIX 1 TO THE STANDING ORDERS FOR MEETINGS OF THE PLANNING & ACCESS COMMITTEE OF THE LOCH LOMOND AND THE TROSSACHS NATIONAL PARK AUTHORITY
APPENDIX 1 TO THE STANDING ORDERS FOR MEETINGS OF THE PLANNING & ACCESS COMMITTEE OF THE LOCH LOMOND AND THE TROSSACHS NATIONAL PARK AUTHORITY SCHEME OF DELEGATION RELATIVE TO PLANNING UNDER (1) SECTION
More informationThe DFSA Rulebook. Recognition (REC)
The DFSA Rulebook Recognition (REC) Contents The contents of this module are divided into the following chapters, sections and appendices: 1 APPLICATION OF THE RECOGNITION MODULE...1 1.1 Application...
More informationExplanatory Notes to Clauses 21 to 27: background and territorial extent, application and commencement
Deregulation Bill 2014 Explanatory Notes to Clauses 21 to 27: background and territorial extent, application and commencement 117. By way of background to these measures, Part 3 of the Wildlife and Countryside
More information