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United Kingdom Statutory Instruments


You are here: BAILII >> Databases >> United Kingdom Statutory Instruments >> The National Health Service (Charges to Overseas Visitors) (Scotland) Amendment (No.2) Regulations 1988 No. 462 (S. 46)
URL: http://www.bailii.org/uk/legis/num_reg/1988/uksi_1988462_en.html

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Statutory Instruments

1988 No. 462 (S.46)

NATIONAL HEALTH SERVICE, SCOTLAND

The National Health Service (Charges to Overseas Visitors) (Scotland) Amendment (No.2) Regulations 1988

Made

10th March 1988

Laid before Parliament

11th March 1988

Coming into force

1st April 1988

The Secretary of State, in exercise of the powers conferred upon him by sections 98 and 108(1) of the National Health Service (Scotland) Act 1978(1), and of all other powers enabling him in that behalf, hereby makes the following Regulations:

Citation, commencement and interpretation

1.-(1) These Regulations may be cited as the National Health Service (Charges to Overseas Visitors) (Scotland) Amendment (No.2) Regulations 1988 and shall come into force on 1st April 1988.

(2) In these Regulations "the principal Regulations" means the National Health Service (Charges to Overseas Visitors) (Scotland) Regulations 1982(2).

Amendment of the principal Regulations

2. In regulation 2 of the principal Regulations (charges for services forming part of the health service)-

(a)for paragraph (3)(3)there shall be substituted the following:-

"(3) Where the services forming part of the health service are provided for an overseas visitor, otherwise than as an in-patient of a health service hospital, at, or by staff employed to work at or under the direction of, a hospital, there shall be made and recovered, in respect of each occasion on which such services are provided, a charge the amount of which shall be-

(a)except where it falls to be determined under sub-paragraph (b) below, the sum specified in Column (2) of Schedule 3 opposite the entry in Column (1) of that Schedule which relates to the services provided;

(b)in the case of the procedures to which paragraph 5(i) of Schedule 3 relates, the sum determined by multiplying the number of unit values specified in Schedule 4 for the group into which the relevant procedure falls, by the appropriate unit charge specified opposite paragraph 5(i) of Schedule 3.";

(b)after paragraph (4) there shall be inserted the following paragraph:-

"(5) For purposes of paragraph (2) and Schedule 2, a "single room" means a room used for the accommodation of one patient only, such room having a floor area of not less than 10 square metres (or 8 square metres where a room is for the accommodation of a child under the age of 10 years) and being completely enclosed by walls or partitions and doors, and having been decorated within the previous 7 years.".

3.-(1) For Schedule 2 to the principal Regulations (daily charges for services provided for overseas visitors as in-patients)(4)there shall be substituted the Schedule set out in Schedule 1 to these Regulations.

(2) For Schedule 3 to the principal Regulations (charges for services provided for overseas visitors otherwise than as in-patients)(5)there shall be substituted the Schedule set out in Schedule 2 to these Regulations.

(3) For Schedule 4 to the principal Regulations (unit values for purpose of determining charges for radiological procedures)(6)there shall be substituted the Schedule set out in Schedule 3 to these Regulations.

Revocations

4. Regulations 2 and 5 of the National Health Service (Charges to Overseas Visitors) (Scotland) Amendment Regulations 1983(7), the whole of the National Health Service (Charges to Overseas Visitors) (Scotland) Amendment Regulations 1986(8), and regulation 3 of the National Health Services (Charges to Overseas Visitors) (Scotland) Amendment (No 2) Regulations 1986(9)are hereby revoked.

Michael B Forsyth

Parliamentary Under Secretary of State, Scottish Office

New St Andrew's House,

Edinburgh

10th March 1988

Regulation 3(1)

SCHEDULE 1Schedule to be substituted for Schedule 2 to the principal Regulations

Regulation 2(2)

"SCHEDULE 2DAILY CHARGES FOR SERVICES PROVIDED FOR OVERSEAS VISITORS AS IN-PATIENTS

Column (1)Column (2)Column (3)
Class of hospital in which services are providedSingle roomOther accommodation
££
1202184
2147133
4153138
5150137
6152138
7230209
89687
910495
108174
11148135
12l30l18
1310091
14137124
15187170
167165
176660
187063
196861
206055
2110192
22207188
23116106
24238217
25193176
26240218
278578
28140127
29124113
318577
326862
3310798
346660
355852
377266
388375
395752
405550
42209190
448679"

Regulation 3(2)

SCHEDULE 2Schedule to be substituted for Schedule 3 to the principal Regulations

Regulation 2(3)

"SCHEDULE 3CHARGES FOR SERVICES PROVIDED FOR OVERSEAS VISITORS OTHERWISE THAN AS IN-PATIENTS

Column (1)Column (2)
Services providedAll classes of hospital

1. For a patient on each attendance at a hospital other than attendances directly associated with the procedures listed in paragraphs 4-12 of this Schedule

£ 14.50
DAY CASES

2. Charges per day exclusive of charges for procedures listed in paragraphs 112 below.

For the purpose of this item a day case is a patient who attends as a non-resident patient for investigation, treatment or operation and who occupies a bed without staying overnight

£ 28.50
DAY PATIENTS

3. Charges per day exclusive of charges for procedures listed in paragraphs 4-12 below

For the purpose of this item a day patient is someone who attends regularly for a course of treatment without necessarily occupying a bed or staying overnight

£ 34.00
PATHOLOGY

4. For each request

£ 7.50
RADIODIAGNOSIS, NUCLEAR MEDICINE AND ULTRASOUND

i.5. For each procedure listed in Schedule 4 (charge per unit £ 6.50 per unit for the first 6 units, value)

£1.00 per unit thereafter

ii.CT Scanning. For all Scans

£ 96.00
RADIOTHERAPY

6. For treatment in any one day

£ 18.00
PHYSIOTHERAPY AND REMEDIAL GYMNASTICS

7. Per attendance

£ 5.50
OCCUPATIONAL THERAPY

8. For treatment in any one day

£ 8.50
OTHER DIAGNOSTIC PROCEDURES

i.9. Audiometry

£ 5.00

ii.Electrocardiography. For each testing session

£ 9.50

iii.Electroencephalography. For each testing session

£ 38.50

iv.Electromyography. For each testing session

£ 24.00
USE OF OPERATING THEATRE FACILITIES

10. Operating theatre facilities booked as required:

i.for less than 10 minute

£ 22.50

ii.for 10 minutes to 30 minutes

£ 44.00

iii.for more than 30 minutes

£ 67.00
DIALYSIS

11. For haemodialysis or intermittent peritoneal dialysis:

i.with training, or routine, at a hospital -� per session

£111.00

ii.routine, at home -� per session

£ 70.50

iii.minimal care unit -� per session

£ 90.50

For continuous ambulatory peritoneal dialysis (including continuous cycling peritoneal dialysis) -� per day

£ 33.50
SUPPLY OF DRUGS AND MEDICINES

12. For the supply of a drug or medicine which is designed to eliminate, prevent the replication of, or in any way inhibit the mode of action of any Human Immunodeficiency Virus -� for each quantity sufficient for one day's treatment

£ 14.50"

Regulation 3(3)

SCHEDULE 3Schedule to be substituted for Schedule 4 to the principal Regulations

Regulation 2(3)

"SCHEDULE 4UNIT VALUES FOR PURPOSE OF DETERMINING CHARGES FOR RADIOLOGICAL PROCEDURES

Group A: 1 unit value for each procedure

Abdomen erect and/or supine

Acromio-clavicular joint(s)

Ankle Chest PA and/or lateral and/or obliques and/or rib views

Clavicle

Elbow

Femur

Finger or fingers of one hand

Foot

Foreign body demonstration

Hand

Hip

Humerus

Knee

Larynx

Localisation of treatment field

Mandible

Nasal bones

Calcaneum

Patella

Pathological specimen

Pelvis

Hips and pelvis

Post-nasal space

Radius and ulna

Sacro-iliac joints

Sacrum and/or coccyx

Scapula

Shoulder

Sinuses and antra

Sterno-clavicular joint

Sternum

Teeth

Thoracic inlet

Thumb

Tibia and fibula

Toe or toes of one foot

Wrist

Perineum

Soft tissues of neck

Group B: 2.5 unit values for each procedure

Cholangiography, post-operative

Cholecystography

Facial bones and/or cephalometry

Fluoroscopy with mobile image intensifier

Mammography

Mastoids

Orthopaedic measurement

Pelvimetry

Pneumothorax, diagnostic

Skull and/or pituitary fossa and/or optic foramina and/or internal auditory meati

Small bowel biopsy

Spine

Lumbar spine

Lumbo-sacral spine

Lumbo-sacral spine and sacro-iliac joints

Lumbo-sacral spine with obliques

Cervical spine

Cervical spine with obliques

Cervical spine with obliques and flexion and extension views

Lumbar spine and cervical spine on one patient

Teeth, panoramic tomography

Temporo-mandibular joints

Ultrasound, all types

Salivary glands

Skeletal survey

Group C: 6 unit values for each procedure

Cholangiography, operative

Cystography

Cystometrography

Cysto-urethrography

Dacrocystography

Endoscopy

Foreign body localisation

Gastro-intestinal tract, upper (includes examination to the mouth of the upper small bowel or any part thereof)

Orthopaedic pinning

Hysterosalpingography

Intra-uterine transfusion

Kidney, exposed

Laryngography

Mammary ductography

Retrograde pyelography and/or ascending ureterography

Sialography

Sinography

Tomography, as a separate examination

Urethrography

Cholangiography, infusion

Cholangiography, intravenous

Gastro-intestinal tract, lower

Pharyngography

Fluoroscopy, other Computed tomography of the Head without contrast enhancement Computed tomography of the Head with contrast enhancement

Computed tomography of the Neck without contrast enhancement

Computed tomography of the Neck with contrast enhancement

Computed tomography of the Thorax without contrast enhancement

Computed tomography of the Thorax with contrast enhancement

Computed tomography of the Abdomen without contrast enhancement

Computed tomography of the Abdomen with contrast enhancement

Computed tomography of the Pelvis without contrast enhancement

Computed tomography of the Pelvis with contrast enhancement

Computed tomography of a Limb without contrast enhancement

Computed tomography of a Limb with contrast enhancement

Computed tomography of the Spine without contrast enhancement

Computed tomography of the Spine with contrast enhancement

Group D: 12 unit values for each procedure

Amniography

Arthrography Biopsy and/or aspiration under imaging control (includes Amniocentesis including ultrasound examination before and after the procedure)

Bronchography

Cholangiography, percutaneous

Excretion urography

Gastro-intestinal tract, upper including small bowel

Gynaecography

Stereotaxis

Nerve injection under imaging control

Ventriculography

Nephrostogram, post operative

Antegrade pyelography

Group E: 30 unit values for each procedure

Aortography

Bile duct, external drainage

Cardiac catheterisation without angiocardiography

Discography

Insertion of pacemaker

Lymphangiography

Myelography

Nephrostomy, percutaneous

Phlebography

Programmed stimulation study

Retrograde cholangio-pancreatography

Lumber radiculography

Meatography

Shuntography

Group F: 60 unit values for each procedure

Angiocardiography

Angioplasty, including angiography pre-and post-angioplasty

Arteriography, all types

Embolisation

Encephalography

Pituitary implant

Magnetic resonance imaging

Bile duct, internal drainage

Bile duct, dilation of stricture

Bile duct, stone extraction

Kidney, stent insertion

Kidney, stone extraction or destruction

Dilatation of oesophageal stricture

Dilatation of pyloric stenosis

Insertion of caval filters

Management of varicocoele

Removal of intravascular foreign body

Ablation of function of spleen

Ablation of function of kidney

Ablation of function of parathyroid

Ablation of function of adrenal

Cisternography"

Explanatory Note

(This note is not part of the Regulations)

These Regulations further amend the National Health Service (Charges to Overseas Visitors) (Scotland) Regulations 1982 ("the principal Regulations"), their main effect being to increase the sums prescribed for charges to certain overseas visitors for services forming part of the health service.

Regulation 3 substitutes in the principal Regulations a new Schedule 2 of charges for in-patient overseas visitors, and a new Schedule 3 of charges for out-patient overseas visitors.

Regulation 3 also substitutes a new Schedule 4 to the principal Regulations which classifies radiological procedures into six groups with unit values specified for each group in ascending order. Such procedures are thus no longer allocated individual unit values. There is a higher charge per unit value for the first six units of each procedure than for subsequent units.

Regulation 2(b) inserts a definition of "single room" and regulation 4 makes consequential revocations.

(1)

1978 c. 29; see section 108(1) for definitions of "prescribed" and "regulations".

(2)

S.I. 1982/898; relevant amending instruments are S.I. 1983/362, 1986/516, 1987/387 and 1988/13

(3)

Regulation 2(3) was substituted by S.I. 1983/362 and amended by S.I. 1986/516

(4)

Schedule 2 was last substituted by S.I. 1987/387

(5)

Schedule 3 was last substituted by S.I. 1987/387 and amended by S.I. 1988/13

(6)

Schedule 4 was amended by S.I. 1983/362

(7)

S.I. 1983/362

(8)

S.I. 1986/516

(9)

S.I. 1986/924


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URL: http://www.bailii.org/uk/legis/num_reg/1988/uksi_1988462_en.html