
1 

(1) These Regulations may be cited as the National Health Service (Travelling Expenses and Remission of Charges) (Scotland) Amendment Regulations 1991 and shall come into force on 1st April 1991.
(2) In these Regulations “the Act” means the National Health Service (Scotland) Act 1978 and “the principal Regulations” means the National Health Service (Travelling Expenses and Remission of Charges) (Scotland) Regulations 1988.
2 
In paragraph (1) of regulation 2 (interpretation) of the principal Regulations after the definition of “income support” there shall be inserted the following defintions:—““NHS contract” has the meaning indicated by section 17A(3) of the Act;“NHS trust” has the meaning indicated by section 12A(1) of the Act;”.
3 

(1) In paragraph (1) of regulation 3 (entitlement to full remission and payment) of the principal Regulations after the word “payment” there shall be inserted the words “, in accordance with regulation 5A,”.
(2) In paragraph (1) of regulation 5 (persons entitled to remission in part or payment in part) of the principal Regulations after the word “payment” there shall be inserted the words “,in accordance with regulation 5A,”.
4 
After regulation 5 of the principal Regulations there shall be inserted the following new regulation:—“
5A 
Where a payment falls to be made under regulation 3(1) or 5(1) in respect of relevant travelling expenses, that payment shall be made—
(a) in a case where the travelling expenses are incurred or to be incurred by a person in attending a hospital which is vested in an NHS trust, by that NHS trust;
(b) in any other case, by the Health Board.”.
5 
In regulation 8 (repayment) of the principal Regulations—
(a) in paragraph (2) after the word “expenses” there shall he inserted the words “(or within such further period as the Secretary of State may for good cause allow);”;
(b) for paragraph (4) there shall be substituted the following new paragraphs:—“
(4) Where the Secretary of State is satisfied that a claimant is entitled to any repayment under paragraph (1) he shall—
(a) in the case of a repayment to be made—
(i) in respect of a relevant charge made by an NHS trust, other than a charge for drugs or for appliances mentioned in sub-paragraphs (a), (c) or (d) of regulation 5(1) of the National Health Service (Charges for Drugs and Appliances) (Scotland) Regulations 1989;
(ii) in respect of relevant travelling expenses incurred by a person in attending a hospital managed by an NHS trust,
authorise in writing the repayment of the amount in question to the claimant by the NHS trust; or
(b) in any other case, cause a repayment to be made to the claimant in such manner as appears to the Secretary of State to be appropriate in the circumstances of the particular case.
(5) On receipt of an authorisation given under paragraph (4)(a) the NHS trust shall pay the amount in question to the claimant.”.
6 
After regulation 8 of the principal Regulations there shall be inserted the following new regulation:—“
8A 

(1) Where a Health Board or an NHS trust (“the provider”) makes a payment under regulation 3(1) or 5(1), or a repayment under regulation 8(4)(b) or (5), 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.”.
7 
In Table B in Part II of Schedule 1 (calculation of requirements), in the entry in column (2) corresponding to the entry “Schedule 3” in column (1), for the words ““paragraph (1)(c) to (h) and (k)”” in the item relating to paragraph 9 there shall be added the words “; and as if paragraph 9(2)(c) were omitted”.
Michael B. Forsyth
Minister of State, Scottish Office
St. Andrews House,
Edinburgh
8th March 1991