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(1) These Regulations may be cited as the Charges for Drugs and Appliances and Travelling Expenses and Remission of Charges (Amendment) Regulations (Northern Ireland) 1999 and shall come into operation on 1st April 1999, immediatley after the coming into operation of the Health Services (Pilot Schemes : Miscellaneous Provisions and Consequential Amendments) Regulations (Northern Ireland) 1999.
(2) In these Regulations, “the Charges Regulations” means the Charges for Drugs and Appliances Regulations (Northern Ireland) 1997.
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(1) The Charges Regulations shall be amended in accordance with the following paragraphs of this regulation.
(2) In regulation 2 (interpretation)—
(a) in paragraph (1)—
(i) for the definition of “elastic hosiery”, substitute—“
 “elastic hosiery” means anklet, legging, knee-cap, below-knee, above-knee or thigh stocking;”,
(ii) after the definition of “medical list”, insert—“
 “nurse prescriber” means a nurse or health visitor of a description specified in paragraph (2);”, and
(iii) for the definition of “prescription form”, substitute—“
 “prescription form” means a form provided by the Agency, a Health Authority constituted under section 8 of the National Health Service Act 1977 or a Health Board constituted under section 2 of the National Health Service (Scotland) Act 1978, and issued by—
(a) a doctor or dentist under the provisions of his terms of service; or
(b) a doctor performing personal medical services or a dentist performing personal dental services in connection with a pilot scheme; or
(c) a nurse prescriber,to enable a person to obtain pharmaceutical services;”;
(b) in paragraph (2) (specified description of nurse or health visitor)—
(i) for “ “prescription form” ” substitute “ “nurse prescriber” ”,
(ii) in sub-paragraphs (a)(iii) and (b)(ii), for the words “or who is performing personal medical services in connection with a pilot scheme” substitute “or who, at that time, is assisting in the performance of personal medical services under a pilot scheme”.
(3) In regulation 3 (supply of drugs and appliances by chemists)—
(a) in paragraphs (1)(a) and (b) and (3) for “£5·80” substitute “£5·90”;
(b) in paragraph (1)(a) for “£11·60” substitute “£11·80”;
(c) after paragraph (1), insert—“
(1A) Where a charge is paid under paragraph (1), the person making the payment shall on doing so sign a declaration in writing on the prescription form that the relevant charge has been paid.”; and
(d) for paragraph (2), substitute—“
(2) No charge shall be made and recovered under paragraph (1) where—
(a) there is exemption under regulation 7 and a declaration of entitlement to exemption on the prescription form is duly completed by or on behalf of the patient;
(b) there is entitlement to remission of the charge under regulation 3 of the Travelling Expenses and Remission of Charges Regulations and a declaration of entitlement to remission on the prescription form is duly completed by or on behalf of the patient.”.
(4) In regulation 4 (supply of drugs and appliances by doctors)—
(a) in paragraphs (1)(a) and (b) and (3) for “£5·80” substitute “£5·90”;
(b) in paragraph (1)(a) for “£11·60” substitute “£11·80”;
(c) after paragraph (1), insert—“
(1A) Where a charge is paid under paragraph (1), the person making the payment shall on doing so sign a declaration in writing on the prescription form that the relevant charge has been paid.”; and
(d) for paragraph (2), substitute—“
(2) No charge shall be made and recovered under paragraph (1) where—
(a) there is exemption under regulation 7 and a declaration of entitlement to exemption on the prescription form is duly completed by or on behalf of the patient;
(b) there is entitlement to remission of the charge under regulation 3 of the Travelling Expenses and Remission of Charges Regulations and a declaration of entitlement to remission on the prescription form is duly completed by or on behalf of the patient.”.
(5) In regulation 5 (supply of drugs and appliances by a Board or an HSS trust)—
(a) in paragraphs (1)(a) and (d) and (3) for “£5·80” substitute “£5·90”;
(b) in paragraphs (1)(a) and (c) for “£11·60” substitute “£11·80”;
(c) in paragraph (1), for “subject to paragraph (2),” substitute “subject to paragraphs (2) and (2A)”;
(d) after paragraph (1), insert—“
(1A) Where a charge is paid under paragraph (1), the person making the payment shall on doing so sign a declaration in writing on the prescription form that the relevant charge has been paid.”;
(e) in paragraph (2)(c), after “education” insert “, and who completes a declaration of entitlement to such exemption, and produces such evidence of entitlement as the Board or HSS trust may reasonably require”;
(f) in paragraph (2)(e), for “and who provides such evidence” substitute “and who completes a declaration of entitlement to such exemption and provides such evidence”;
(g) in paragraph (2)(f), delete “provides”, and substitute “completes a declaration of entitlement to such exemption and provides”; and
(h) after paragraph (2), insert—“
(2A) A partially remitted charge shall be made and recovered under this regulation from a patient who is entitled to partial remission under regulation 7(3) if a declaration in writing is provided that the relevant part of the charge has been paid and a declaration of entitlement, and such other evidence of entitlement, to partial remission as may be required, is provided.”.
(6) In regulation 7 (exemptions)—
(a) in paragraphs (1) and (2), for “No charge—” in each of those paragraphs, substitute “Subject to paragraph (2A), no charge”;
(b) after paragraph (2), insert—“
(2A) A person who wishes to claim entitlement to exemption under paragraph (1) or (2) shall provide any declaration of entitlement required, under regulation 3(2) or 4(2), and any declaration or evidence of entitlement required under regulation 5(2).”;
(c) after paragraph (3), insert—“
(3A) Where a charge is remitted in part under paragraph (3), the person making the part payment shall on doing so sign a declaration in writing that the relevant part of the charge has been paid, and complete a declaration of entitlement, and provide such other evidence of entitlement to partial remission as may be required.”.
(7) In paragraph (5) of regulation 9 (pre-payment certificates) for “£30·10” substitute “£30·80” and for “£82·70” substitute “£84·60”.
(8) For Schedule 1, substitute—“
SCHEDULE 1


Column (1) Column (2)
Specified Appliance Specified Charge
Surgical Brassiere £19·95
Abdominal or Spinal Support £29·95
Stock Modacrylic Wig £49·00
Partial Human Hair Wig £129·00
Full Bespoke Human Hair Wig £188·50”.
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Where, on or after 1st April 1999,—
(a) any appliance specified in Schedule 1 to the Regulations is supplied pursuant to an order given before that date; or
(b) any pre-payment certificate is granted under regulation 9 of the Charges Regulations pursuant to an application under that regulation which was received before that date,the Charges Regulations shall have effect in relation to that supply or, as the case may be, that grant, as if regulation 2(3)(a) and (b), (4)(a) and (b), (5)(a) and (b), (7) and (8) of these Regulations had not come into operation.
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(1) The Travelling Expenses and Remission of Charges Regulations (Northern Ireland) 1989 shall be amended in accordance with the following provisions of this regulation.
(2) For paragraph (1) of regulation 7 (claims for remission or payment), substitute—“
(1) Subject to paragraph (1A), a person who wishes to claim entitlement under regulation 3(1) or 5(1) (full or partial remission of relevant charges or payment of relevant travelling expenses) shall—
(a) if he is a person—
(i) within a description specified in regulation 4(1)(aa), (bb), (k) or (l), make a claim to the Department in writing, or
(ii) within a description specified in regulation 4(1)(e), (f) or (m) or 5(1), make a claim to the Department on a form provided by or on behalf of the Department for that purpose,
and shall send or deliver it to an appropriate office;
(b) provide any declaration of entitlement required under regulation 3(2) or 4(2) or any declaration or evidence of entitlement required under regulation 5(2) of the Charges for Drugs and Appliances Regulations (Northern Ireland) 1997.”.
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Regulations 1(2) and 3 to 9 of the Charges for Drugs and Appliances (Amendment No. 2) Regulations (Northern Ireland) 1998 are hereby revoked.
Sealed with the Official Seal of the Department of Health and Social Services on
Joan Dixon
Assistant Secretary
29th March 1999.Sealed with the Official Seal of the Department of Finance and Personnel on 29th March 1999.
J. G. Sullivan
Assistant Secretary
The Department of Finance and Personnel hereby approves the foregoing Regulations in so far as they relate to charges and remission of charges, under the Health and Personal Social Services (Northern Ireland) Order 1972.Sealed with the Official Seal of the Department of Finance and Personnel on 29th March 1999.
J. G. Sullivan
Assistant Secretary
