Start Consolidating clinical services

Consolidating clinical services

Sections 83(5) and (6) provide: Regulations may provide that services of a prescribed description must, or must not, be regarded as primary medical services for the purposes of this Act.

Acute services are widely defined in section 3(1) of the NHS Act as follows: “(a) hospital accommodation, (b) other accommodation for the purpose of any service provided under this Act, (c) medical, dental, ophthalmic, nursing and ambulance services, (d) such other services or facilities for the care of pregnant women, women who are breastfeeding and young children [as the group considers] are appropriate as part of the health service, (e) such other services or facilities for the prevention of illness, the care of persons suffering from illness and the after-care of persons who have suffered from illness [as the group considers] are appropriate as part of the health service, (f) such other services or facilities as are required for the diagnosis and treatment of illness” Where a CCG commissions relevant services under section 3(1) of the NHS Act, a GP can discharge his or her obligations as a provider of primary care by referring an NHS patient onto another NHS provider where his or her patient requires one of those acute services.

The definitions of primary medical services include: of the Act (requirement to provide certain primary medical services), the services which must be provided under a general medical services contract (“essential services”) are the services described in paragraphs (3), (5), (6) and (8).

(1A) The services described in paragraphs (3), (5), (6) and (8) are not required to be provided by the contractor during any period in respect of which the Care Quality Commission has suspended the contractor as a service provider under of the Health and Social Care Act 2008 (suspension of registration).

Acute medical services come within Part 1 of the NHS Act and primary care services fall within Part 4 of the NHS Act.