
1 

(1) These Regulations may be cited as the National Health Service (Fund-Holding Practices) (Scotland) Amendment Regulations 1993 and shall come into force on 1st July 1993.
(2) In these Regulations, “the principal Regulations” means the National Health Service (Fund-Holding Practices) (Scotland) Regulations 1993().
2 
In paragraph (8) of regulation 5 (appeals to the Secretary of State against refusal of recognition) of the principal Regulations after the words “a member of the practice” the words “or some other person” shall be inserted.
3 
In regulation 6 (conditions for continuing recognition) of the principal Regulations at the beginning there shall be inserted the words “Subject to the provisions of Part IV of these Regulations”.
4 
For paragraph (1) of regulation 17 (payment for goods and services) of the principal Regulations the following paragraph shall be substituted:–“
(1) Subject to paragraphs (3) to (9) the members of a fund-holding practice shall apply the allotted sum to secure the purchase of such of the goods and services, other than general medical services, referred to in paragraph (2) as are necessary for the proper treatment of individuals on the lists of patients of the members of the practice and are appropriate in all the circumstances having regard, in particular, to the needs of all those individuals.”.
5 
In regulation 20 (savings from the allotted sum) of the principal Regulations–
(a) a new paragraph (1) shall be inserted as follows:–“
(1) The members of the fund-holding practice may discharge their obligations under regulations 16 and 17 and exercise their powers under regulations 18 and 19 in such a way as to take into account any benefit to individuals on the lists of patients of the members of the practice, which in their opinion, would be derived from making savings to be applied in accordance with the following provisions of this regulation and regulations 16, 17, 18 and 19 shall be construed accordingly.”; and
(b) the existing first paragraph shall be numbered paragraph (2).
6 
For Schedule 3 (services in respect of which a member of a fund-holding practice may receive payment pursuant to an arrangement under regulation 18) to the principal Regulations there shall be substituted the new Schedule 3 set out in the Schedule to these Regulations.
Fraser of Carmyllie
Minister of State, Scottish Office
St. Andrew’s House,
Edinburgh
26th May 1993
SCHEDULE
Regulation 6
“
SCHEDULE 3
Regulation 18


 Pathology
 Blood counts
 Liver function and electrolytes
 Ophthalmology
 Chalazion operation
 Operations for obstruction of the nasolacrimal duct
 Ear Nose and Throat
 Puncture of maxillary antrum with washout
 Pharyngoscopy
 Laryngoscopy
 General surgery
 Endoscopy (upper gastrointestinal tract)
 Sigmoidoscopy
 Ligation of varicose veins (below knee)
 Genito-Urinary surgery
 Diagnostic flexible cystoscopy
 Vasectomy
 Gynaecology
 Colposcopy
 Marsupialisation of Bartholin’s cyst
 Orthopaedics
 Excision of ganglion
 Carpal tunnel release
 Other
 Diagnostic ultrasound (not obstetric)
”