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Statutory Instruments of the Scottish Parliament


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SCOTTISH STATUTORY INSTRUMENTS


2003 No. 460

NATIONAL HEALTH SERVICE

The National Health Service (Travelling Expenses and Remission of Charges) (Scotland) (No. 2) Regulations 2003

  Made 26th September 2003 
  Laid before the Scottish Parliament 29th September 2003 
  Coming into force 6th October 2003 

The Scottish Ministers, in exercise of the powers conferred by sections 75A, 105(7) and 108(1) of the National Health Service (Scotland) Act 1978[1], and of all other powers enabling them in that behalf, hereby make the following Regulations:

Citation and commencement
     1. These Regulations may be cited as the National Health Service (Travelling Expenses and Remission of Charges) (Scotland) (No. 2) Regulations 2003 and shall come into force on 6th October 2003.

Interpretation
    
2. In these Regulations, unless the context otherwise requires-

Entitlement to full remission and payment
     3.  - (1) Any person of a description prescribed by regulation 4 is entitled, in accordance with the following provisions of these Regulations, to the remission of the whole amount of any charges specified in paragraph (2) which would otherwise be payable by that person ("relevant charges"), and to payment, in accordance with regulation 6 and 7, of the whole amount of the travelling expenses including, where applicable, the whole amount of the overnight accommodation expenses, referred to in paragraphs (3), (4) and (5) ("relevant travelling expenses").

    (2) The specified charges for the purpose of paragraph (1) are-

    (3) Paragraph (1) applies in the case of travelling expenses necessarily incurred or to be incurred by a person in attending a hospital for the purpose of availing that person of services provided under the care of a hospital consultant in pursuance of the Act, and includes the travelling expenses of a companion in a case where-

    (4) Paragraph (1) applies in the case of overnight accommodation expenses necessarily incurred in obtaining such accommodation for the purpose of paragraph (3) by a person or a companion whose travelling expenses are payable by virtue of that paragraph.

    (5) The travelling expenses, including as applicable overnight accommodation expenses, to be taken into account for the purposes of paragraphs (3) and (4) are to be the costs of travelling by the cheapest means of transport and of overnight accommodation in the cheapest facilities reasonably available.

    (6) For the purposes of sub-paragraph (3) "child" means a person who has not attained the age of 16.

Description of persons entitled to full remission and payment
     4.  - (1) Regulation 3(1) applies-

    (2) The persons described are-

Persons entitled to remission in part or payment in part
     5.  - (1) A person who is not of a description prescribed by regulation 4 and whose capital resources do not exceed the capital limit is entitled, in accordance with the following provisions of these Regulations, to the remission of part of any relevant charges or, as the case may be, payment, in accordance with regulation 6, of part of any relevant travelling expenses if at the time when the relevant charges are made or when the relevant travelling expenses are incurred the person is-

    (2) This regulation applies only in respect of charges for wigs, fabric supports and surgical brassieres payable in pursuance of section 69(1) of the Act (supplied otherwise than under Part II of the Act), charges for dental appliances and dental treatment payable in pursuance of section 70(1A) or section 71(1) of the Act or of section 20(1) of the National Health Service (Primary Care) Act 1997, and any relevant travelling expenses.

    (3) The amount of any relevant charges which a person is entitled by paragraph (1) to have remitted is the difference between the relevant charges and 3 times the amount by which the person's income resources exceed the person's requirements.

    (4) The amount of the relevant charges for the purposes of paragraph (3) are in the case of-

    (5) Subject to regulation 7, the amount of the relevant travelling expenses which a person is entitled by paragraph (1) to be paid is the difference between the relevant travelling expenses incurred in any week and the amount by which the person's income resources exceed the person's requirements.

Payment of relevant travelling expenses
    
6. Where a payment falls to be made under regulations 3(1) or 5(1) in respect of relevant travelling expenses, that payment shall be made-

Payment to persons resident in the Highlands and Islands
    
7.  - (1) A person of the description prescribed in paragraph (3) who is not a person of a description prescribed by regulation 4 is entitled to payment of relevant travelling expenses incurred or to be incurred in making a journey between the person's normal place of residence in the Highlands and Islands and a hospital in the United Kingdom for the purpose of availing the person of services provided under the care of a hospital consultant in pursuance of the Act, provided that-

    (2) The relevant travelling expenses referred to in paragraph (1) include-

    (3) Paragraph (1) applies to a person who, at the time when the relevant travelling expenses referred to in paragraph (1) are incurred, is normally resident or working on a long-term basis in the area comprising-

    (4) Where a payment falls to be made under paragraph (1) in respect of relevant travelling expenses, that payment shall be made-

Calculation of resources and requirements
    
8.  - (1) Where it is necessary that the resources or requirements of a person, or the relationship between them, should be calculated for the purposes of these Regulations, they shall be calculated by the Scottish Ministers according to the provisions of this regulation and the Schedule.

    (2) For the purposes of paragraph (1), the resources and requirements of a person shall be calculated in the case of a claim made under-

and in each case in accordance with the provisions of these Regulations in force at that date.

    (3) Unless any provision referred to in the Schedule specifies to the contrary, where a claimant is a member of a family-

    (4) In a case to which paragraph (3) applies, unless the context otherwise requires, any reference to a "claimant" in the Schedule or in the provisions referred to in the Schedule shall be construed as including the other members of the claimant's family.

    (5) In a case where the earnings of any person are to be calculated for the purpose of this regulation and those earnings have been affected by a trade dispute, the earnings to be taken into account shall be the earnings which that person would have received if there had been no trade dispute.

Claims for remission or payment
    
9.  - (1) Subject to paragraph (2), a person who falls within sub-paragraph (a) or (b) below and who wishes to claim their entitlement under regulations 3(1) or 5(1) shall, if the person comes within a description prescribed by regulations 4(2)(c), (d), (g), (h) or (i), or 5(1), make a claim to the Scottish Ministers on a form provided by or on behalf of the Scottish Ministers for that purpose, and shall send or deliver that form to the Scottish Ministers, or to an office receiving and processing such claims on their behalf.

    (2) Subject to paragraph (3), where a person is unable for the time being to act, a claim may be made on that person's behalf by another person.

    (3) The Scottish Ministers may refuse to accept a claim made by one person on behalf of another where, in the Scottish Minister's opinion-

    (4) A claimant shall produce in support of a claim such evidence as the Scottish Ministers may reasonably require.

    (5) The Scottish Ministers may treat any claim under paragraph (1) as a claim to entitlement in respect of all the relevant charges and relevant travelling expenses and shall calculate the resources and requirements of the claimant according to the provisions of regulation 8 and the Schedule.

Notices of entitlement
    
10.  - (1) Where the Scottish Ministers determine, on a claim made under either regulation 3 or regulation 5 that the claimant and any member of the claimant's family are entitled to any remission of a relevant charge or any payment in respect of relevant travelling expenses, they shall issue a notice of entitlement to the claimant.

    (2) Where a person is entitled to full remission of a relevant charge and payment in full of relevant travelling expenses because the person is a member of a family described in regulation 4(2)(j)(i), the Scottish Ministers must issue a notice of entitlement to that family and in such a case the notice shall apply to all the members of that family.

    (3) A notice of entitlement issued under paragraph (1) applies to all members of the claimant's family and must state-

    (4) A notice of entitlement issued under paragraph (1) or paragraph (2) must state the length of time for which it is valid and the dates on which that time begins and ends.

    (5) A notice of entitlement issued under paragraph (1) is valid for 12 months beginning on the date of the claim except that-

    (6) A notice of entitlement issued under paragraph (2) is valid from such date and for such period as the Scottish Ministers may determine.

    (7) Subject to paragraphs (9) and (10), any change in the financial or other circumstances of a claimant, or of any member of the claimant's family, during the period of a notice of entitlement shall not affect its validity in respect of that period or, in the case of partial remission or payment, the amount referred to in paragraph (3)(b).

    (8) A claimant who is issued with a notice of entitlement to partial remission may make a further claim in accordance with regulation 5 at any time during the period of the notice if the claimant considers that by reason of a change in the claimant's financial circumstances or those of any member of the claimant's family the amount referred to in paragraph (3)(b) should be reduced.

    (9) A claimant to whom a notice of entitlement has been issued under this regulation must return it to the Scottish Ministers in any case where the claimant's claim is found to have been based on a false representation.

    (10) A notice of entitlement issued under this regulation is effective only for the purpose of entitlement to remission of relevant charges and payment of relevant travelling expenses in accordance with these Regulations.

Repayment
    
11.  - (1) Subject to the following provisions of these Regulations, a person of a description prescribed by regulations 4 or 5(1) who pays any relevant charges or relevant travelling expenses without exercising the person's right under regulations 3(1) or 5(1) to remission or payment is entitled to be repaid whatever amount would otherwise have been remitted or paid.

    (2) Subject to paragraph (3), it is a condition of the entitlement to repayment under paragraph (1) of a person of any description that the person makes a claim to the Scottish Ministers for repayment within three months after payment of the relevant charges or relevant travelling expenses (or within such further period as the Scottish Ministers may for good cause allow) and that the person makes that claim on a form provided by or on behalf of the Scottish Ministers for that purpose for persons of that description.

    (3) Subject to paragraph (4), where a person is unable for the time being to act, a claim may be made on behalf of that person by another person.

    (4) The Scottish Ministers may refuse to accept a claim made by one person on behalf of another where, in the Scottish Ministers' opinion-

    (5) It is a further condition of entitlement to repayment under paragraph (1) that the claimant produces in support of the claim such evidence as the Scottish Ministers may reasonably require.

    (6) Where the Scottish Ministers are satisfied that a claimant is entitled to any repayment under paragraph (1) they shall-

    (7) On receipt of an authorisation given under paragraph (6)(a) the NHS trust or the Health Board shall pay the amount in question to the claimant.

Reimbursement of payments made in respect of relevant travelling expenses
     12.  - (1) Where a Health Board or an NHS trust ("the provider") makes a payment under regulations 3(1) or 5(1), or a repayment under regulation 11(7), in respect of relevant travelling expenses incurred or to be incurred by a person who is receiving services from the provider under the terms of an NHS contract the amount of the payment or repayment in question shall be reimbursed to the provider by the Health Board which has responsibility for the health care of that person.

    (2) In this regulation the expression "Health Board which has responsibility for the health care of that person" has the meaning indicated by article 2 of the Functions of Health Boards (Scotland) Order 1991[
25].

Transitional provisions
     13. Where, before the date of coming into force of these Regulations-

Revocation
     14. The National Health Service (Travelling Expenses and Remission of Charges) (Scotland) Regulations 2003 are revoked.


MALCOLM CHISHOLM
A member of the Scottish Executive

St Andrew's House, Edinburgh
26th September 2003



SCHEDULE
Regulation 8



PART I

CALCULATION OF RESOURCES

     1. A claimant's resources shall be calculated in terms of income and capital and shall be calculated as follows:-

     2. The provisions of the Income Support (General) Regulations 1987 shall be applied as follows:-




PART II

CALCULATION OF REQUIREMENTS

     3.  - (1) A claimant's requirements shall be calculated as being the amount referred to in head (a) below less, where applicable, the amount referred to in head (b) below, as follows:-

    (2) Subject to sub paragraph (3), where a claimant is jointly and severally liable for council tax in respect of a dwelling in which the claimant is resident with one or more other persons, the claimant's liability in respect of that tax for the purposes of these Regulations shall be the amount of that tax divided by the number of persons who are jointly and severally liable for that tax.

    (3) Sub paragraph (2) shall not apply where a claimant is jointly and severally liable for council tax in respect of a dwelling with only the claimant's partner.

     4. The provisions of the Income Support (General) Regulations 1987 specified in column (1) of Table B in this Schedule shall be applied-




EXPLANATORY NOTE

(This note is not part of the Regulations)


These Regulations provide in respect of persons specified in the regulations, for the remission or repayment of the whole or part of certain charges which would otherwise be payable by those persons under the National Health Service (Scotland) Act 1978 ("the Act") and the National Health Service (Primary Care) Act 1997 ("the 1997 Act"). They also provide in respect of persons specified in the Regulations, for the payment, as set out, of certain travelling expenses, including those of the person's companion, and certain costs of overnight accommodation for the person and their companion.

Regulation 3 provides for full remission of charges for drugs, medicines, appliances and pharmaceutical services in pursuance of section 69(1) of the Act, charges for dental appliances and dental treatment in pursuance of section 70(1A) or section 71(1) of the Act or of section 20(1) of the 1997 Act and the payment of the travelling expenses, to persons qualifying under regulation 4.

Regulation 4 describes the various qualifications which entitle persons to remission of charges and/or payment of travelling expenses.

Regulation 5 provides for the partial remission of charges for wigs, fabric supports and surgical brassieres in pursuance of section 69(1) of the Act, charges for dental appliances and dental treatment in pursuance of section 70(1A) or section 71(1) of the Act or of section 20(1) of the 1997 Act and relevant travelling expenses, to persons who meet the relevant criteria.

Regulation 6 provides for when payment is to be made by either an NHS trust or a Health Board.

Regulation 7 provides for the payment of expenses to persons living or working in specific parts of Scotland who attend hospitals elsewhere and who do not otherwise qualify under regulation 4.

Regulation 8 provides the method of calculation of the resources or requirements of a person who makes a claim for full or partial remission of charges or payment of travelling expenses.

Regulation 9 provides the procedure for processing claims for remission or payment by the Scottish Ministers and for the issue of a notice of entitlement to a person.

Regulation 10 provides for the issue by the Scottish Ministers of a notice of entitlement to a person, and to the family members of that person where they are entitled to remission and payment in full or in part in terms of regulations 3 and 5.

Regulation 11 provides for the repayment of relevant charges or travelling expenses to persons entitled to remission or payment who had paid the relevant charges or incurred the travelling expenses.

Regulation 12 provides for the reimbursement of payments or repayments made by a Health Board or NHS Trust which is providing treatment under an NHS Contract by the Health Board responsible for the healthcare of the person receiving treatment.

Regulation 13 makes transitional provisions relating to applications and remissions under previous Regulations.

Regulation 14 gives effect to the revocation of the National Health Service (Travelling Expenses and Remission of Charges) (Scotland) Regulations 2003 (S.S.I. 2003/376).

The Schedule sets out in detail the method of calculation of the income and capital of claimants.


Notes:

[1] 1978 c.29; section 75A was inserted by the Social Security Act 1988 (c.7), section 14(2), and amended by the Health and Medicines Act 1988 (c.49), Schedule 2, paragraph 13, the National Health Service (Primary Care) Act 1997 (c.46), Schedule 2, Part I, paragraphs 32 and 51, and the National Health Service and Community Care Act 1990 (c.19), Schedule 9, paragraph 19(13), and by S.I. 1998/2385; section 105(7) was amended by the Health Services Act 1980 (c.53), Schedule 6, paragraph 5, and Schedule 7, and by the Health and Social Services and Social Security Adjudications Act 1983 (c.41), Schedule 9, paragraph 24, and by the Health Act 1999 (c.8), Schedule 4, paragraph 60; section 108(1) contains definitions of "prescribed" and "regulations" relevant to the exercise of the statutory powers under which these Regulations are made. The functions of the Secretary of State were transferred to the Scottish Ministers by virtue of section 53 of the Scotland Act 1998 (c.46).back

[2] 2001 asp 8.back

[3] 1948 c.29.back

[4] S.I. 1992/2977; relevantly amended by S.S.I. 2001/138, regulation 3.back

[5] 1992 c. 4.back

[6] 2002 c.21.back

[7] 1992 c.4.back

[8] 1995 c.18.back

[9] S.I. 2002/2006.back

[10] 1999 c.33; section 94 was amended by the Nationality, Immigration and Asylum Act 2002 (c.41), Schedule 9.back

[11] 1948 c.29; section 26(2) was amended by section 42(3) of, and paragraph 5(5) of Schedule 9 and Schedule 10 to, the National Health Service and Community Care Act 1990 (c.19) ("the 1990 Act").back

[12] Section 1(4) was amended by the Welfare Reform and Pensions Act 1999 (c.30), Schedule 7, paragraph 2(4), and Schedule 13, Part V.back

[13] S.I. 1987/1969back

[14] 2002 c.16.back

[15] See the Tax Credits (Definition and Calculation of Income) Regulations 2002 (S.I. 2002/2006) for the manner of calculation of income under section 7(3).back

[16] Section 22(2) was amended by section 44(3) of the 1990 Act.back

[17] 1992 c.52.back

[18] For the applicable charges see S.S.I. 2001/430; amended by S.S.I. 2002/100 and 2003/130 and 295.back

[19] Section 70(1A) was inserted by the Health and Medicines Act 1988 (c.49) ("the 1988 Act"), section 11(4).back

[20] Section 71(1) was amended by the 1988 Act, Schedule 3.back

[21] For the applicable charges see S.I. 1988/464back

[22] 1997 c.46.back

[23] 1968 c.49.back

[24] S.S.I. 2001/430.back

[25] S.I. 1991/570back

[26] S.I. 1988/546.back

[27] S.S.I. 2003/376.back

[28] S.I. 1987/1967.back

[29] S.I. 2002/3019.back

[30] Amended by S.I. 2003/455, regulation 2 and Schedule 1.back

[31] Amended by S.I. 1991/159, regulation 7.back

[32] Amended by S.I. 1993/2119, regulation 11.back

[33] Amended by S.I. 1988/663, regulation 15 and 1989/1323, regulation 10.back

[34] Amended by S.I. 1988/663, regulation 17.back

[35] Amended by S.I. 1999/1509, regulation 2(5).back

[36] Amended by S.I. 1993/2119, regulation 13 and 1994/2139, regulation 28.back

[37] 1992 c.4.back

[38] Amended by S.I. 1988/2002, regulation 9, 1998/563, regulation 13(1)(a) and 2003/455, Regulation 2 and Schedule 1, paragraph 8.back

[39] Amended by S.I. 1999/3178, article 3(5) and Schedule 5, paragraph 3 and 2000/2545, regulation 2(1)(a).back

[40] Amended by S.I. 1988/1445, regulation 10 and Schedule 1, paragraph 4, 1989/534, Schedule 1, paragraph 7, 1991/1559, regulation 8, 1993/315, Schedule, paragraph 2, 1994/527, regulation 4, 1995/2792, regulation 6(2), 1995/3282, regulation 2, 1998/2117, regulation 2(2), 1999/2640, regulation 2(1), 2002/841, regulation 2(2) and 2003/455, regulation 10.back

[41] Amended by S.I. 1988/2022, regulation 10.back

[42] Amended by S.I. 1988/1445, regulation 11.back

[43] Amended by S.I. 1999/3178, article 3(5) and Schedule 5, paragraph 6.back

[44] Inserted by S.I. 1996/462, regulation 12(1).back

[45] Amended by S.I. 1988/2022, regulation 13, 1996/462, regulation 12(1) and 2000/2545, regulation 2(1)(c).back

[46] Amended by S.I. 2000/1981, regulation 5(3) and 2001/2319, regulation 2(1) and (2)(c).back

[47] Amended by S.I. 2000/1922, regulation 2(4)(e) and 2003/455, paragraph 16.back

[48] Inserted by S.I. 2001/2319, regulation 6 and amended by 2003/455, paragraph 16.back

[49] Amended by S.I. 1990/547, regulation 14 and 1996/462, regulation 8.back

[50] Inserted by S.I. 1990/1549, regulation 5(7).back

[51] Amended by S.I. 2001/3767, regulation 2(1) and Part I of Schedule, paragraph 18.back

[52] Amended by S.I. 1993/315, regulation 8 and 2000/2545, regulation 3 and Schedule, paragraph 2.back

[53] Amended by S.I. 1993/315, regulation 8 and 2000/2545, regulation 3 and Schedule, paragraph 2.back

[54] Amended by S.I. 2000/2545, regulation 3 and Schedule, paragraph 2.back

[55] Amended by S.I. 1993/518, regulation 5, 1995/2303, regulation 6(9) and 2001/3767, regulation 2(1) and Part I of Schedule, paragraph 19.back

[56] Amended by S.I. 1995/2792, regulation 6(3), 2000/2239, regulation 2(4) and 2002/841, regulation 2(4).back

[57] Amended by S.I. 1994/527, regulation 9, 1995/516, regulation 27 and 2002/668, article 16(9).back

[58] Amended by S.I. 1988/999, regulation 5, 1990/127, regulation 3, 1991/1175, regulation 5, 1992/1101, regulation 6, 1993/963, regulation 2(3), 1993/1249, regulation 4(4) and 2000/636, regulation 3(12).back

[59] Amended by S.I. 1988/663, regulation 35, 1989/1034, regulation 12, 1992/468, Schedule, paragraph 9 and 2001/3070, article 3(2) and Schedule 1, paragraph (c).back

[60] 2002 c.16.back

[61] Amended by 1988/663, regulation 36, 1989/1034, regulation 12, 1992/468, Schedule, paragraph 10 and 2001/3070, article 3(2) and Schedule 1, paragraph c.back

[62] S.I. 1987/1967.back

[63] 1992 c.14.back

[64] 1992 c.4; Part VII was amended by the Local Government Finance Act 1992, section 103 and Schedule 9 which replaced references to community charge benefit with reference to council tax benefit.back

[65] S.I. 1995/1613.back

[66] S.I. 1995/2287.back

[67] Amended by S.I. 1991/2334, regulation 2 and 1994/3061, regulation 2(2).back

[68] Inserted by S.I. 1991/2334, regulation 2.back

[69] Amended by S.I. 1988/910, regulation 2, 1988/445, Schedule 1, paragraph 11, 1989/534, Schedule 1, paragraph 17, 1992/3147, regulation 2(1), 1996/206, regulation 9 and 2003/455, Schedule 1, paragraph 2.back

[70] Amended by S.I. 1988/1228, regulation 5, 1988/1445, regulation 6 and Schedule 1, paragraph 12, 1989/1034, regulation 5, 1989/534, Schedule 1, paragraph 17, 1992/3147, regulation 2(1), 1993/2119, regulation 8, 1996/206, regulation 10 and 2001/3767, regulation 2 and Schedule, Part I, paragraph 4.back

[71] 1968 c.49.back

[72] 1948 c.29.back

[73] Amended by S.I. 1991/1033, regulation 2, 1994/527, regulation 3, 1996/206, regulation 12, 1996/2431, regulation 2, 2000/636, regulation 3(4)(a), 2001/3767, regulation 2 and Schedule, Part 1, paragraph 6 and 2003/455, Schedule 1, paragraph 3.back

[74] Amended by S.I. 1992/3147, Schedule 1, paragraph 3, 1994/1087, regulation 4(1), 1994/2139, regulation 25, 1995/516, regulation 21, 1996/1944, regulation 6(6), 1996/2006, regulation 4, 1998/563, regulation 8(1) and (2)(c)(i), 1998/563, regulation 18(3) and (4)(c), 2000/636, regulation 3(4)(a) and 2000/979, regulation 2.back

[75] Amended by S.I. 1996/206, regulation 23 and Schedule 2 and 2002/668, article 16(4).back

[76] Amended by S.I. 1996/2545, regulation 2, 1999/264, article 18(3) and Schedule 4, 1999/2555, regulation 2(1)(b) and (2) and 2002/668, article 16(3) and Schedule 2.back

[77] Amended by 1988/1445, regulation 19, 1996/1803, regulation 39, 1997/2197, regulation 7(5) and (6)(a) and 2002/668, article 16(4).back

[78] Amended by 1991/2742, regulation 11(4), 1994/2139, regulation 30, 1995/482, regulation 16, 1999/2566, regulation 2(2) and Schedule 2, Part II and 2003/455, Schedule 1, paragraph 20.back

[79] Amended by S.I. 1995/482, regulation 17 and 1995/2303, regulation 6(8).back

[80] Amended by S.I. 1995/482, regulation 16.back

[81] Amended by S.I. 1994/3061, regulation 2(3).back

[82] Amended by S.I. 1994/3061, regulation 2(3) and 2000/681, regulation 4.back

[83] 1948 c.29.back

[84] S.I. 1987/1968.back

[85] Amended by S.I. 1997/2197, regulation 5(7), 2002/668, article 16(7) and Schedule 4 and 2003/455, Schedule 1, paragraph 21.back

[86] 1968 c.49.back

[87] 1948 c.29.back



ISBN 0 11 062483 1


 
© Crown copyright 2003
Prepared 6 October 2003


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