Statutory Instruments
NATIONAL HEALTH SERVICE, ENGLAND AND WALES
Made
6th July 1989
Laid before Parliament
10th July 1989
Coming into force
31st July 1989
The Secretary of State for Health, in exercise of powers conferred by section 38(7) of the National Health Service Act 1977(1) and of all other powers enabling him in that behalf, hereby makes the following Regulations:-
1. These Regulations may be cited as the National Health Service (General Ophthalmic Services) Amendment (No. 2) Regulations 1989 and shall come into force on 31st July 1989.
2.-(1) Schedule 1 to the National Health Service (General Ophthalmic Services) Regulations 1986(2) (terms of service) is amended according to the following provisions of this regulation.
(2) In paragraph 10 (testing of sight)-
(a)for sub-paragraphs (1) to (3) there are substituted the following sub-paragraphs-
"(1) A contractor shall, having accepted pursuant to the regulations an application for the testing of sight, test the sight of a patient to determine whether the patient needs to wear or use an optical appliance, and on so doing shall fulfil any duty imposed on him by, or in Regulations made under, Section 20B of the Opticians Act 1958(3).
(2) Where a contractor is of the opinion that a patient whose sight he has tested pursuant to sub-paragraph (1)-
(a)shows on examination signs of injury, disease or abnormality in the eye or elsewhere which may require medical treatment; or
(b)is not likely to attain a satisfactory standard of vision notwithstanding the application of corrective lenses,
he shall so inform the patient's doctor.
(3) Where a contractor tests the sight of a patient diagnosed as suffering from diabetes or glaucoma he shall inform the patient's doctor of the results of the test.";
(b)in sub-paragraph (4) for "issued pursuant to sub-paragraph (3)" there is substituted "for glasses issued following a testing of sight under general ophthalmic services".
Signed by authority of the Secretary of State for Health.
D. Mellor
Minister of State
Department of Health
6th July 1989
(This note is not part of the Regulations)
These Regulations amend the National Health Service (General Ophthalmic Services) Regulations 1986 which provide for the arrangements under which ophthalmic medical practitioners and ophthalmic opticians ("contractors") provide general ophthalmic services.
Regulation 2 amends the contractors' terms of service. The amendment requires a contractor to test a patient's sight to determine whether or not he needs an optical appliance and to comply with the statutory requirements imposed by and under section 20B of the Opticians Act 1958 (which provides for duties to be performed on sight testing). It also imposes a new requirement on a contractor who tests the sight of a patient suffering from diabetes or glaucoma to inform the patient's doctor of the results of the test.
1977 c. 49; see section 128(1) for the definition of "prescribed" and "regulations". Section 38 was amended by section 1(3) of the Health and Social Security Act 1984 (c. 48) and by the Health and Medicines Act 1988 (c. 49), section 13(1) and modified by S.I. 1985/39, article 7.
1958 c. 32; section 20B was inserted by section 14 of the Health and Medicines Act 1988 (c. 49); see S.I. 1989/1176.