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2003 No. 3148

HEALTH CARE AND ASSOCIATED PROFESSIONS

The European Qualifications (Health Care Professions) Regulations 2003

  Made 4th December 2003 
  Laid before Parliament 10th December 2003 
  Coming into force in accordance with regulation 1(1)

The Secretary of State, being a Minister designated for the purposes of section 2(2) of the European Communities Act 1972[1] in relation to measures relating to the access to, the training for, the pursuit of, and the award of qualifications in the professions of dentistry, medicine, midwifery, nursing and pharmacy and their specialities[2] and in relation to the recognition of higher-education diplomas, formal qualifications, or experience in the occupation, required for the pursuit of professions or occupations[3], in exercise of the powers conferred by the said section 2(2)[4], and of all other powers enabling him in that behalf, hereby makes the following Regulations: - 

Citation, commencement, interpretation and extent
     1.  - (1) These Regulations may be cited as the European Qualifications (Health Care Professions) Regulations 2003 and - 

    (2) In these Regulations - 

    (3) The extent of any amendment made by these Regulations is the same as that of the enactment amended.

NURSES

Amendment of Nurses, Midwives and Health Visitors Act
     2.  - (1) Until its repeal by virtue of section 60(3) of the Health Act 1999, section 21 of the Nurses, Midwives and Health Visitors Act (visiting EEA nurses and midwives) is to have effect as if it were amended in accordance with this regulation.

    (2) In subsection (6) - 

    (3) In subsection (7), after the definition of "the Accession of Austria, Finland and Sweden Act", add the following definition - 

Performance of functions under the Nursing and Midwifery Order and subordinate legislation
    
3.  - (1) The Nursing and Midwifery Council shall in performing its functions under Schedule 2 to the Nursing and Midwifery Order (transitional provisions), apply the provisions of the Nurses, Midwives and Health Visitors Act as if they had effect as modified by virtue of regulation 2.

    (2) The Council shall perform its functions under the Schedule to the Nurses, Midwives and Health Visitors Approval Order 1983[
13] (Nurses, Midwives and Health Visitors Rules 1983) as if - 

Amendment of the Nursing and Midwifery Order
     4.  - (1) The Nursing and Midwifery Order is amended in accordance with this regulation.

    (2) In Schedule 4 to the Nursing and Midwifery Order (interpretation) - 

Amendment of the European Nursing and Midwifery Qualifications Designation Order 1996
     5.  - (1) In the European Nursing and Midwifery Qualifications Designation Order 1996[19] - 


(d) for Schedule 2 (diplomas listed in the First Nursing Directive, article 3, and the First Midwifery Directive, article 3), substitute the Schedule 2 set out in Schedule 1, to these Regulations.

DENTISTS

Amendment of Dentists Act
     6.  - (1) The Dentists Act is amended in accordance with this regulation.

    (2) In section 15 (qualification for registration in the dentists register) - 

    (3) In section 16 (supplementary provisions as to registration of holders of overseas diplomas), in subsection (2A) for paragraphs (a) and (b) substitute - 

    (4) In section 17 (temporary registration), in subsection (3A) - 

    (5) In section 21A (notification of result of application for registration by an EEA national), in subsection (1), after "for registration under section 15(1)(b)", insert "or (c)".

    (6) In Schedule 2 (European dental qualifications), Part I (appropriate European diplomas) is amended as follows - 

    (7) For Part II of Schedule 2 (scheduled European diplomas), substitute the Part II of that Schedule set out in Part I of Schedule 2 to these Regulations.

Amendment of European Primary and Specialist Dental Qualifications Regulations 1998
    
7.  - (1) The European Primary and Specialist Dental Qualifications Regulations 1998[20] are amended in accordance with this regulation.

    (2) In regulation 2 (interpretation), in paragraph (1) - 

    (3) In regulation 2(3), omit "and" the end of sub-paragraph (b), and after sub-paragraph (c) add - 

    (4) In paragraph (2) of regulation 4 (the competent authority) - 

    (5) In regulation 9 (eligible specialists) - 

    (6) In regulation 10 (recognised specialist dental qualifications) - 

    (7) For regulation 13 (other specialties), substitute - 

    (8) In regulation 16(2)(g) (the competent authorities), for "EEC" substitute "EEA".

    (9) For Schedule 1 (specialist dental qualifications awarded in EEA States other than the United Kingdom in orthodontics and oral surgery), substitute the Schedule 1 set out in Schedule 2, Part II to these Regulations.

    (10) In Schedule 2 (minimum training requirements for training leading to the award of primary dental qualifications in the United Kingdom - text of Article 1 of and the Annex to the Dental Training Directive), in paragraph 1 for "Article 3 of" substitute "Annex A to".

PHARMACISTS

Pharmacy Act
     8.  - (1) The Pharmacy Act is amended in accordance with this regulation.

    (2) In section 2 (the registers and registration), after subsection (2), insert - 

    (3) In section 4 (qualification by degree, diploma, etc. for registration) - 

    (4) In section 4A (qualification by appropriate European diploma for registration) - 

    (5) After section 4A, insert - 

    (6) In section 8 (control of registrations by Statutory Committee), in subsection (1B), in paragraph (a), for "a member State", substitute "an EEA State".

    (7) In section 24 (interpretation), in subsection (1) insert each of the following definitions at the appropriate place - 

    (8) For Schedule 1A (qualifying European diplomas), substitute the Schedule 1A set out in Schedule 3 to these Regulations.

DOCTORS - MEDICAL ACT

Amendment of the Medical Act
    
9.  - (1) The Medical Act is amended in accordance with this regulation.

    (2) In section 3 (registration by virtue of primary United Kingdom or primary European qualifications), in subsection (3) - 

    (3) In section 5 (general functions of the Education Committee in relation to medical education in the United Kingdom), in subsection (4), in the definition of "Directive 93/16/EEC", for paragraph (b), substitute - 

    (4) In section 17 (primary qualifications obtained in other EEA States) - 

    (5) For Schedule 2 (primary European qualifications), substitute the Schedule 2 set out in Part I of Schedule 4 to these Regulations.

DOCTORS - SPECIALISTS

Amendment of the European Specialist Medical Qualifications Order 1995
    
10.  - (1) The European Specialist Medical Qualifications Order 1995[22] is amended in accordance with this regulation.

    (2) In article 2 (interpretation) - 

    (3) In article 3 (the competent authorities), in paragraph (4) - 

    (4) After article 8 (the specialist register), insert - 

    (5) In article 9 (eligible specialists), for paragraph (4) substitute - 

    (6) After article 9(4), add - 

    (7) In article 10 (recognised specialist medical qualifications), in paragraph (1) - 

    (8) In article 10(2)(a), for "article 5 or 7 of the Directive", substitute "Annex B to the Directive in a specialty listed in Annex C to the Directive".

    (9) After article 10(2), insert - 

    (10) In article 10(3), omit "or" after paragraph (d), and after paragraph (d) insert - 

    (11) For Schedule 4 (specialist medical qualifications awarded in EEA States other than the United Kingdom), substitute the Schedule 4 set out in Part II of Schedule 4 to these Regulations.

DOCTORS - GENERAL MEDICAL PRACTICE

Amendments to the National Health Service (Vocational Training for General Medical Practice) (Scotland) Regulations 1998
     11.  - (1) The National Health Service (Vocational Training for General Medical Practice) (Scotland) Regulations 1998[34] are amended in accordance with this regulation.

    (2) In regulation 2 (interpretation) - 

    (3) In regulation 5 (exemptions), in paragraph (2) omit the definitions of "EEA Agreement" and "EEA State".

    (4) In regulation 6 (prescribed medical experience) - 

    (5) In regulation 12 (certificate of equivalent experience), after paragraph (8), insert - 

Amendments to the Medical Practitioners (Vocational Training) Regulations (Northern Ireland) 1998
     12.  - (1) The Medical Practitioners (Vocational Training) Regulations (Northern Ireland) 1998[48] are amended in accordance with this regulation.

    (2) In regulation 2 (interpretation) - 

    (3) In regulation 5 (exemptions), in paragraph (2) omit the definitions of "EEA Agreement" and "EEA State".

    (4) In regulation 6 (prescribed medical experience),

    (5) In regulation 12 (certificate of equivalent experience), after paragraph (8), insert - 

Amendments to the National Health Service (Vocational Training for General Medical Practice) Regulations 1997
     13.  - (1) The National Health Service (Vocational Training for General Medical Practice) Regulations 1997[50] are amended in accordance with this regulation.

    (2) In regulation 2 (interpretation) - 

    (3) In regulation 5 (exemptions), in paragraph (2) omit the definitions of "EEA Agreement" and "EEA State".

    (4) In regulation 6 (prescribed medical experience),

    (5) In regulation 12 (certificate of equivalent experience), after paragraph (8), insert - 

Vocational Training for General Medical Practice (European Requirements) Regulations 1994
     14.  - (1) The Vocational Training for General Medical Practice (European Requirements) Regulations 1994[52] are amended in accordance with this regulation.

    (2) In regulation 2 (interpretation) - 

    (3) After regulation 3 (competent authority), insert - 

OSTEOPATHS

The General Osteopathic Council (Registration) Rules Order of Council 1998
    
15.  - (1) The General Osteopathic Council (Registration) Rules Order of Council 1998[60] is amended in accordance with this regulation.

    (2) In the Schedule to the Order (the General Osteopathic Council (Registration) Rules 1998), in rule 3 (the form of the register), in paragraph (4), in the definition of - 

The General Osteopathic Council (Application for Registration and Fees) Rules Order of Council 2000
     16.  - (1) The General Osteopathic Council (Application for Registration and Fees) Rules Order of Council 2000[66] is amended in accordance with this regulation.

    (2) In the Schedule to the Order (the General Osteopathic Council (Application for Registration and Fees) Rules 2000), in rule 2 (interpretation), in paragraph (1), in the definition of - 

CHIROPRACTORS

General Chiropractic Council (Registration During Transitional Period) Rules Order of Council 1999
     17.  - (1) The General Chiropractic Council (Registration During Transitional Period) Rules Order of Council 1999[68] is amended in accordance with this regulation.

    (2) In the Schedule to the Order (the General Chiropractic Council (Registration During Transitional Period) Rules 1999), in rule 9 (fees), for paragraph (3), substitute - 

    (3) In the Schedule to the Rules (form of application for registration during transitional period), in section 11, for "or a state within the European Economic Area, in which case the fee is £100", substitute ", a State within the European Economic Area or Switzerland, in which case the fee is £100. (The European Economic Area comprises the Member States of the European Union and Iceland, Norway and Liechtenstein)".

The General Chiropractic Council (Registration) Rules Order of Council 1999
     18.  - (1) The General Chiropractic Council (Registration) Rules Order of Council 1999[71] is amended in accordance with this regulation.

    (2) In the Schedule to the Order (the General Chiropractic Council (Registration) Rules 1999) - 

General Chiropractic Council (Registration of Chiropractors with Foreign Qualifications) Rules Order of Council 2002
     19.  - (1) The General Chiropractic Council (Registration of Chiropractors with Foreign Qualifications) Rules Order of Council 2002[74] is amended in accordance with this regulation.

    (2) In the Schedule to the Order (General Chiropractic Council (Registration of Chiropractors with Foreign Qualifications) Rules), in rule 9 (application and interpretation of Part III), in paragraph (2), in the definition of "EEA State", after "1993", add "and as amended by Decisions of the EEA Joint Committee Nos. 25/94 of 2nd December 1994, 6/98 of 30th January 1998, 87/2000 of 27th October 2000, and 84/2002 of 25th June 2002[75]".

HEALTH PROFESSIONS

Health Professions Order
     20.  - (1) The Health Professions Order is amended in accordance with this regulation.

    (2) In Schedule 3 (interpretation) - 



Signed by authority of one of Her Majesty's Principal Secretaries of State


John Hutton
Minister of State, Department of Health

4th December 2003



SCHEDULE 1
Regulation 5

The substituted Schedule 2 to the European Nursing and Midwifery Qualifications Designation Order is as follows - 






SCHEDULE 2

DENTISTS




PART I

Regulation 6(7)

SCHEDULED EUROPEAN DIPLOMAS

The substituted Part II of Schedule 2 to the Dentists Act is as follows - 






PART II

Regulation 7(7)

SPECIALIST DENTAL QUALIFICATIONS AWARDED IN EEA STATES OTHER THAN THE UNITED KINGDOM IN ORTHODONTICS AND ORAL SURGERY

The substituted Schedule 1 to the European Primary and Specialist Dental Qualifications Regulations is as follows - 






SCHEDULE 3
Regulation 8


PHARMACISTS


The substituted Schedule 1A to the Pharmacy Act is as follows - 






SCHEDULE 4

DOCTORS




PART I

Regulation 9(5)

The substituted Schedule 2 to the Medical Act is as follows - 






PART II

Regulation 10(13)

The substituted Schedule 4 to the European Specialist Medical Qualifications Order is as follows - 






EXPLANATORY NOTE

(This note is not part of the Regulations)


These Regulations implement Directive 2001/19/EC which amends the Directives relating to nurses responsible for general care, midwives, dentists, pharmacists and doctors and which also amends the Directives 89/48/EEC and 92/51/EEC which apply, among others, to chiropractors, osteopaths and the health professions regulated under the Health Professions Order 2001. They amend legislation to provide transitional arrangements in respect of: dentistry and pharmacy for those awarded qualifications in Italy; specialist medical qualifications awarded in Spain; and add a transitional provision in respect of pharmacy which is already present in respect of the other professions. In so far as it is not already provided for in the legislation, they provide for decisions on recognition of qualifications in respect of EEA nationals to be given within 3 months. They provide for appeals from specified decisions relating to recognition of qualifications. They also provide for part-time training in general medical practice to be at least 50 per cent. of the time spent each week by those undergoing full-time training (the previous requirement was 60 per cent).

The regulations provide in accordance with the judgments in Hocsman (Case C-238/98) and Commission v Spain (Case C-232/99), which were given after Directive 2001/19/EC was adopted, for qualifications awarded outside the EEA together with professional experience and training to be taken into account in determining whether to authorise an EEA national to practise in the UK.

They also provide for recognition of qualifications granted in Switzerland in accordance with the Agreement between the European Community and its Member States, of the one part, and the Swiss Confederation, of the other, on the free movement of persons, signed at Luxembourg on 21 June 1999.

A transposition table is available on the following website
Transposition Table for Directive 2001/19/EC which gives further information about the implementation of Directive 2001/19/EEC.


Notes:

[1] 1972 c.68.back

[2] S.I. 1995/3207.back

[3] S.I. 2002/248.back

[4] The subject-matter of section 21 of the National Health Service (Scotland) Act 1978 (requirement of suitable experience for medical practitioners) is not a reserved matter under the Scotland Act 1998 (c.46). Therefore, as regards Scotland, see section 57(1) of the 1998 Act which provides that, despite the transfer to the Scottish Ministers by virtue of section 53 of that Act of functions in relation to observing and implementing Community law, any function of a Minister of the Crown in relation to any matter (including therefore in relation to the subject-matter of section 21) shall continue to be exercisable by him as regards Scotland for the purposes specified in section 2(2) of the European Communities Act 1972.back

[5] S.I.1995/3208, amended by S.I. 1997/2928, 1999/1373, 1999/3154 and 2002/849.back

[6] This Schedule was inserted by article 11 of the Medical Act 1983 (Amendment) Order 2002, S.I. 2002/3135.back

[7] 1984 c.24; as amended by S.I.1996/1496 and 1998/811. There are other amendments to the Act not relevant to these Regulations.back

[8] 1983 c. 54; as amended by S.I. 1996/1591 and 2002/3135. There are other amendments to the Act not relevant to these Regulations.back

[9] 1997 c.24. The Act has been partially repealed by S.I. 2001/1985 and 2002/1167.back

[10] 1954 c.61; as amended by S.I. 1987/2202 and 1996/1405. There are other amendments to the Act not relevant to these Regulations.back

[11] S.I. 2002/254.back

[12] S.I.2002/253.back

[13] S.I. 1983/873 as amended by S.I. 1986/786, 1989/1456, 1996/3103, 1997/1723 and 2000/2554.back

[14] O.J. L206, 31.7.2001, p.1.back

[15] Cm. 2073 and O.J. No. L 1, 3.1.1994, p.3.back

[16] Cm.2183 and O.J. No. L 1, 3.1.1994, p.572.back

[17] O.J. No. L 266, 3.10.2002, p.36. The Agreement has been amended by other Decisions not relevant to this Order.back

[18] O.J. No. L 114, 30.04.2002, p.6.back

[19] S.I. 1996/3102.back

[20] S.I. 1998/811.back

[21] O.J. No. L 266, 3.10.2002, p.36. The Agreement has been amended by other Decisions not relevant to these Regulations.back

[22] S.I. 1995/3208, amended by S.I. 1997/2928, 1999/1373, 1999/3154 and 2002/849.back

[23] O.J. No. C241, 29.8.1994, p.21. Norway did not ratify the Treaty.back

[24] O.J. No. L 1, 1.1.1995, p.1.back

[25] O.J. No. L 291, 24.1.1997, p.35.back

[26] O.J. No. L 119, 22.4.1998, p.15.back

[27] O.J. No. L 253, 15.9.1998, p.24.back

[28] O.J. No. L 139, 2.6.1999, p.25.back

[29] O.J. No. L 206, 31.7.2001, p.1.back

[30] O.J. No. L 160, 28.6.1994, p.1.back

[31] O.J. No. L 74, 15.3.2001, p.26.back

[32] O.J. No. L 7, 11.1.2001, p.9.back

[33] O.J. No. L 266, 3.10.2002, p.36. The Agreement has been amended by other Decisions which are not relevant to the Directive.back

[34] S.I. 1998/5 as amended by S.I. 1998/669 and S.S.I. 2000/23.back

[35] O.J. No. L 165, 7.7.1993, p.1.back

[36] O.J. No. C241, 29.8.1994, p.21. Norway did not ratify the Treaty.back

[37] O.J. No. L 1, 1.1.1995, p.1.back

[38] O.J. No. L 291, 24.10.1997, p.35.back

[39] O.J. No. L 119, 22.4.1998, p.15.back

[40] O.J. No. L 253, 15.9.1998, p.24.back

[41] O.J. No. L 139, 2.6.1999, p.25.back

[42] O.J. No. L 206, 31.7.2001, p.1.back

[43] O.J. No. L 160, 28.6.1994, p.1.back

[44] O.J. No. L 74, 15.3.2001, p.26.back

[45] O.J. No. L 7, 11.1.2001, p.9.back

[46] O.J. No. L 266, 3.10.2002, p.36. The Agreement has been amended by other Decisions which are not relevant to these Regulations.back

[47] O.J. No. L 114, 30.04.2002, p.6.back

[48] S.R. 1998 No. 13.back

[49] The Agreement has been amended by other Decisions which are not relevant to these Regulations.back

[50] S.I. 1997/2817. There are no relevant amendments.back

[51] The Agreement has been amended by other Decisions which are not relevant to these Regulations.back

[52] S.I. 1994/3130. There are no relevant amendments.back

[53] O.J. No. L 160, 28.6.1994, p.1.back

[54] O.J. No. L 74, 15.3.2001, p.26.back

[55] O.J. No. L 7, 11.1.2001, p.9.back

[56] O.J. No. L 266, 3.10.2002, p.36.back

[57] O.J. No. L 165, 7.7.1993, p.1.back

[58] O.J. No. C241, 29.8.1994, p.21. Norway did not ratify the Treaty.back

[59] O.J. No. L 1, 1.1.1995, p.1.back

[60] S.I. 1998/1328.back

[61] Switzerland is added by virtue of the Agreement between the European Community and its Member States, of the one part, and the Swiss Confederation, of the other, on the free movement of persons (O.J. No. L 114, 30.04.2002, p.6).back

[62] O.J. L 339, 29.12.1994, p.84.back

[63] O.J. No. L 272, 8.10.98, p.8.back

[64] O.J. No. L 7, 11.1.2001, p.3.back

[65] O.J. No. L 266, 3.10.2002, p.36.back

[66] S.I. 2000/1038.back

[67] The Agreement has been amended by other Decisions not relevant to these Rules.back

[68] S.I. 1999/1857.back

[69] Switzerland is added by virtue of the Agreement between the European Community and its Member States, of the one part, and the Swiss Confederation, of the other, on the free movement of persons. O.J. No. L 114, 30.04.2002, p.6.back

[70] The Agreement has been amended by other Decisions which are not relevant to these Rules.back

[71] S.I. 1999/1856.back

[72] Switzerland is added by virtue of the Agreement between the European Community and its Member States, of the one part, and the Swiss Confederation, of the other, on the free movement of persons, O.J. No. L 114, 30.04.2002, p.6.back

[73] The Agreement has been amended by other Decisions which are not relevant to these Rules.back

[74] S.I. 2002/2704.back

[75] The Agreement has been amended by other Decisions which are not relevant to these Rules.back

[76] The Agreement has been amended by other Decisions which are not relevant to this Order.back



ISBN 0 11 048268 9


  Prepared 10 December 2003


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