
1 

(1) These Regulations may be cited as the National Health Service (Charges to Overseas Visitors) 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) (No. 2) Regulations 1982.
2 

(1) The principal Regulations shall be amended in accordance with the following paragraphs of this regulation.
(2) In regulation 2—
(a) for paragraph (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 of any class, 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 the column of Schedule 3 covering the class of hospital in which that hospital is included 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 against paragraph 5(i) in the column of Schedule 3 covering the class of hospital in which that hospital is included.”
(b) After paragraph (4) there shall be added the following paragraph—“
(5) For the 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) For Schedule 2 (daily charges for services provided for overseas visitors as in-patients) there shall be substituted the Schedule set out as Schedule 1 to these Regulations.
(4) For Schedule 3 (charges for services provided for overseas visitors otherwise than as in-patients) there shall be substituted the Schedule set out as Schedule 2 to these Regulations.
(5) For Schedule 4 (units of cost value for purpose of determining charges for radiodiagnosis examination procedures) there shall be substituted the Schedule set out as Schedule 3 to these Regulations.
3 
The following Regulations are hereby revoked:—
(a) The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1983, regulations 2 and 5;
(b) The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1987, regulation 2(3) and (4) and Schedules 1 and 2;
(c) The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1988, regulation 2(3).
Signed by authority of the Secretary of State for Social Services.
Tony Newton
Minister of State,
Department of Health and Social Security
8th March 1988
SCHEDULE 1
Regulation 2(3)
“
SCHEDULE 2
Regulation 2(2)


(1) Class of hospital in which services are provided (2) Single Room (3) Other Accommodation
  £ £
Class A (Long-Stay Hospitals) 93 84
Class B (Psychiatric Hospitals) 85 77
Class C1 (Mainly acute and other hospitals in non-teaching districts) 149 136
Class C2 (Acute and other hospitals in non-teaching districts) 170 154
Class D (Hospitals in London teaching districts (other than hospitals in Classes A and B)) 231 210
Class E (Hospitals in provincial teaching districts (other than hospitals in Classes A and B)) 185 168
Class F (London Postgraduate Teaching hospitals managed by Special Health Authorities except the Hospitals for Sick Children and the National Heart and Chest Hospitals) 253 230
Class G (The Hospitals for Sick Children and the National Heart and Chest Hospitals) 392 357”
SCHEDULE 2
Regulation 2(4)
“
SCHEDULE 3
Regulation 2(3)


(1) Services Provided (2) Hospital Class A-E (3) Hospital Class F and G
 £ £

1 
For a patient on each attendance at a hospital other than attendances directly associated with the procedures listed in paragraphs 4—12 below. 14.50 21.50

2 
Charges per day exclusive of charges for procedures listed in paragraphs 4—12 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 29.50

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 35.00

4 
For each request. 7.50 15.00

5 

i. For each procedure listed in Schedule 4 (charge per unit value). 6.50 per unit for the first 6 units, 1.00 per unit thereafter. 9.00 per unit for the first 6 units, 1.25 per unit thereafter.

ii. C.T. Scanning. For all scans. 96.00 115.00

6 
For treatment in any one day: 18.00 44.50

7 
Per attendance 5.50 11.50

8 
For treatment in any one day 8.50 10.00

9 

i. Audiometry. 5.00 5.00

ii. Electrocardiography. For each testing session. 9.50 17.50

iii. Electroencephalography. For each testing session. 38.50 83.50

iv. Electromyography. For each testing session. 24.00 50.50

10 
Operating theatre facilities booked as required:

i. For less than 10 minutes. 22.50 28.00

ii. For 10 minutes to 30 minutes. 44.00 56.00

iii. For more than 30 minutes. 67.00 84.00

11 
For haemodialysis or intermittent peritoneal dialysis:
i. With training or routine at a hospital per session. 111.00 111.00

ii. Routine, at home — per session 70.50 70.50

iii. Minimal Care Unit — per session 90.50 90.50
For continuous ambulatory peritoneal dialysis (including continuous cycling peritoneal dialysis) — per day. 33.50 33.50

12 
For the supply of a drug or medicine which is designed to elimininate, 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 14.50”
SCHEDULE 3
Regulation 2(5)
“
SCHEDULE 4
Regulation 2(3)
Group A:

 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:

 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:

 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:

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

 Aortography
 Bile duct, external drainage
 Cardiac catheterisation without angiocardiography
 Discography
 Insertion of pacemaker
 Lymphangiography
 Myelography
 Nephrostomy, percutaneous
 Phlebography
 Programmed stimulation study
 Retrograde cholangio-pancreatography
 Lumbar radiculography
 Meatography
 Shuntography

Group F:

 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
”