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United Kingdom Statutory Instruments |
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You are here: BAILII >> Databases >> United Kingdom Statutory Instruments >> The National Health Service (Charges to Overseas Visitors) Amendment (No. 2) Regulations 1988 No. 472 URL: http://www.bailii.org/uk/legis/num_reg/1988/uksi_1988472_en.html |
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Statutory Instruments
NATIONAL HEALTH SERVICE, ENGLAND AND WALES
Made
8th March 1988
Laid before Parliament
11th March 1988
Coming into force
1st April 1988
The Secretary of State for Social Services, in exercise of powers conferred on him by section 121 of the National Health Service Act 1977(1) and of all other powers enabling him in that behalf, hereby makes the following Regulations:-
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).
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(3), regulations 2 and 5;
(b)The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1987(4), regulation 2(3) and (4) and Schedules 1 and 2;
(c)The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1988(5), 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
Regulation 2(3)
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" |
Regulation 2(4)
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 |
DAY CASES2. 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 |
DAY PATIENTS3. 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 |
PATHOLOGY4. For each request. | 7.50 | 15.00 |
RADIODIAGNOSIS, NUCLEAR MEDICINE AND ULTRASOUNDi.5. 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 |
RADIOTHERAPY6. For treatment in any one day: | 18.00 | 44.50 |
PHYSIOTHERAPY AND REMEDIAL GYMNASTICS7. Per attendance | 5.50 | 11.50 |
OCCUPATIONAL THERAPY8. For treatment in any one day | 8.50 | 10.00 |
OTHER DIAGNOSTIC PROCEDURESi.9. 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 |
USE OF OPERATING THEATRE FACILITIES10. 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 |
DIALYSIS11. 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 |
SUPPLY OF DRUGS AND MEDICINES12. 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" |
Regulation 2(5)
Regulation 2(3)
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
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
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
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
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
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"
(This note is not part of the Regulations)
These Regulations further amend the National Health Service (Charges to Overseas Visitors) (No. 2) Regulations 1982, their main effect being to increase the sums prescribed for charges to certain overseas visitors for services forming part of the health service.
Regulation 2 substitutes new Schedules of charges for overseas visitors, both as in-patients (the new Schedule 2) and otherwise (the new Schedule 3).
Regulation 2(5) substitutes a new Schedule 4 to the principal Regulations, by which radiological procedures are no longer allocated individual unit values. They are classified into six groups instead and unit values are specified for each group in ascending order. There is a higher charge per unit value for the first six units than for subsequent units.
Regulation 3 makes consequential revocations.
