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SCOTTISH STATUTORY INSTRUMENTS


2003 No. 376

NATIONAL HEALTH SERVICE

The National Health Service (Travelling Expenses and Remission of Charges) (Scotland) Regulations 2003

  Made 1st August 2003 
  Laid before the Scottish Parliament 1st August 2003 
  Coming into force 5th August 2003 

The Scottish Ministers, in exercise of the powers conferred by sections 75A, 105(7) and 108(1) of the National Health Service (Scotland) Act 1978[1], and of all other powers enabling them in that behalf, hereby make the following Regulations:

Citation and commencement
     1. These Regulations may be cited as the National Health Service (Travelling Expenses and Remission of Charges) (Scotland) Regulations 2003 and shall come into force on 5th August 2003.

Interpretation
    
2. In these Regulations, unless the context otherwise requires-

Entitlement to full remission and payment
     3.  - (1) Any person of a description prescribed by regulation 4 is entitled, in accordance with the following provisions of these Regulations, to the remission of the whole amount of any charges specified in paragraph (2) which would otherwise be payable by that person ("relevant charges"), and to payment, in accordance with regulation 6, of the whole amount of the travelling expenses including, where applicable, the whole amount of the overnight accommodation expenses, referred to in paragraphs (3), (4) and (5) ("relevant travelling expenses").

    (2) The specified charges for the purpose of paragraph (1) are-

    (3) Paragraph (1) applies in the case of travelling expenses necessarily incurred or to be incurred by a person in attending a hospital for the purpose of availing that person of services provided under the care of a hospital consultant in pursuance of the Act, and includes the travelling expenses of a companion in a case where it is necessary on medical grounds for that person to be accompanied.

    (4) Paragraph (1) applies in the case of overnight accommodation expenses necessarily incurred in obtaining such accommodation for the purpose of paragraph (3) by a person or a companion whose travelling expenses are payable by virtue of that paragraph.

    (5) The travelling expenses, including as applicable overnight accommodation expenses, to be taken into account for the purposes of paragraphs (3) and (4) are to be the costs of travelling by the cheapest means of transport and of overnight accommodation in the cheapest facilities reasonably available.

Description of persons entitled to full remission and payment
     4.  - (1) Regulation 3(1) applies-

    (2) The persons described are-

Persons entitled to remission in part or payment in part
     5.  - (1) A person who is not of a description prescribed by regulation 4 and whose capital resources do not exceed the capital limit is entitled, in accordance with the following provisions of these Regulations, to the remission of part of any relevant charges or, as the case may be, payment, in accordance with regulation 6, of part of any relevant travelling expenses if at the time when the relevant charges are made or when the travelling expenses are incurred the person is-

    (2) This regulation applies only in respect of charges for wigs, fabric supports and surgical brassieres payable in pursuance of section 69(1) of the Act (supplied otherwise than under Part II of the Act), charges for dental appliances and dental treatment payable in pursuance of section 70(1A) or section 71(1) of the Act or of section 20(1) of the National Health Service (Primary Care) Act 1997, and any relevant travelling expenses.

    (3) The amount of any relevant charges which a person is entitled by paragraph (1) to have remitted is the difference between the relevant charges and 3 times the amount by which the person's income resources exceed the person's requirements.

    (4) The amount of the relevant charges for the purposes of paragraph (3) are in the case of-

    (5) Subject to regulation 7, the amount of the relevant travelling expenses which a person is entitled by paragraph (1) to be paid is the difference between the relevant travelling expenses incurred in any week and the amount by which the person's income resources exceed the person's requirements.

Payment of travelling expenses
    
6. Where a payment falls to be made under regulations 3(1) or 5(1) in respect of relevant travelling expenses, that payment shall be made-

Payment to persons resident in the Highlands and Islands
    
7.  - (1) A person of the description prescribed in paragraph (3) who is not a person of a description prescribed by regulation 4 is entitled to payment of travelling expenses incurred or to be incurred in making a journey between the person's normal place of residence in the Highlands and Islands and a hospital in the United Kingdom for the purpose of availing the person of services provided under the care of a hospital consultant in pursuance of the Act, provided that-

    (2) The travelling expenses referred to in paragraph (1) include-

    (3) Paragraph (1) applies to a person who, at the time when the travelling expenses referred to in paragraph (1) are incurred, is normally resident or working on a long-term basis in the area comprising-

    (4) Where a payment falls to be made under paragraph (1) in respect of travelling expenses, that payment shall be made-

Calculation of resources and requirements
    
8.  - (1) Where it is necessary that the resources or requirements of a person, or the relationship between them, should be calculated for the purposes of these Regulations, they shall be calculated by the Scottish Ministers according to the provisions of this regulation and Schedule 1.

    (2) For the purposes of paragraph (1), the resources and requirements of a person shall be calculated in the case of a claim made under-

and in each case in accordance with the provisions of these Regulations in force at that date.

    (3) Unless any provision referred to in Schedule 1 specifies to the contrary, where a claimant is a member of a family-

    (4) In a case to which paragraph (3) applies, unless the context otherwise requires, any reference to a "claimant" in Schedule 1 or in the provisions referred to in that Schedule shall be construed as including the other members of the claimant's family.

    (5) In a case where the earnings of any person are to be calculated for the purpose of this regulation and those earnings have been affected by a trade dispute, the earnings to be taken into account shall be the earnings which that person would have received if there had been no trade dispute.

Claims for remission or payment
    
9.  - (1) Subject to paragraph (2), a person who falls within sub-paragraph (a) or (b) below and who wishes to claim their entitlement under regulations 3(1) or 5(1) shall, if the person comes-

and shall send or deliver that claim in writing or, as the case may be, that form, to the Scottish Ministers or to an office receiving and processing such claims on their behalf.

    (2) Subject to paragraph (3), where a person is unable for the time being to act, a claim may be made on that person's behalf by another person.

    (3) The Scottish Ministers may refuse to accept a claim made by one person on behalf of another where, in the Scottish Minister's opinion-

    (4) A claimant shall produce in support of a claim such evidence as the Scottish Ministers may reasonably require.

    (5) The Scottish Ministers may treat any claim under paragraph (1) as a claim to entitlement in respect of all the relevant charges and relevant travelling expenses and shall calculate the resources and requirements of the claimant according to the provisions of regulation 8 and Schedule 1.

    (6) If the Scottish Ministers determine that the claimant and any member of the claimant's family are entitled to any remission of the relevant charges or any payment of the relevant travelling expenses, the Scottish Ministers shall issue a notice of entitlement to the claimant which shall be effective in respect of the claimant and any member of the claimant's family for the purposes of any remission of those charges, and any payment of those travelling expenses, to which they are entitled.

    (7) A notice of entitlement issued under paragraph (6) shall indicate whether the claimant and any member of the claimant's family are entitled to full or partial remission or payment and, in the case of partial remission or payment, shall specify the amount of any relevant charges or relevant travelling expenses for which there is no entitlement to remission or payment.

    (8) Subject to paragraphs (9) and (11), a notice of entitlement issued under paragraph (6) shall be effective for a period of 6 months from the date of claim and shall specify the dates of commencement and expiry of that period.

    (9) Subject to paragraph (11), where a claimant or the claimant's partner is a person of a description specified in column (1) of Schedule 2 and the date of claim falls within any period specified in column (1), the notice of entitlement issued under paragraph (6) to that claimant shall be effective for the period specified in column (2) of that Schedule opposite the description in column (1) of that claimant or the claimant's partner.

    (10) Subject to paragraph (11), any change in the financial or other circumstances of a claimant, or of any member of the claimant's family, during the period for which a notice of entitlement has been issued shall not affect the validity of the notice of entitlement in respect of that period or, in the case of partial remission or payment, the amounts referred to in paragraph (7).

    (11) A claimant who is issued with a notice of entitlement in a case of partial remission may make a further claim in accordance with paragraph (1) at any time during the period for which the notice of entitlement has been issued, if the claimant considers that by reason of a change in the claimant's financial circumstances or those of any member of the claimant's family the amount referred to in paragraph (7) should be reduced.

Notices of entitlement
    
10.  - (1) Where a person is entitled to full remission and payment because the person is a member of a family described in regulation 4(2)(n), the Scottish Ministers shall issue a notice of entitlement to that family.

    (2) Such a notice of entitlement shall apply to-

    (3) A notice of entitlement issued under paragraph (1) shall be effective-

as the Scottish Ministers may determine.

    (4) Any change in the financial or other circumstances of a person who is a member of a family in respect of which a notice of entitlement has been issued under paragraph (1), during the period for which the notice of entitlement has been issued, shall not affect the validity of the notice of entitlement in respect of that period.

Repayment
    
11.  - (1) Subject to the following provisions of these Regulations, a person of a description prescribed by regulations 4 or 5(1) who pays any relevant charges or relevant travelling expenses without exercising the person's right under regulations 3(1) or 5(1) to remission or payment is entitled to be repaid whatever amount would otherwise have been remitted or paid.

    (2) Subject to paragraph (3), it is a condition of the entitlement to repayment under paragraph (1) of a person of any description that the person makes a claim to the Scottish Ministers for repayment within three months after payment of the relevant charges or relevant travelling expenses (or within such further period as the Scottish Ministers may for good cause allow) and that the person makes that claim on a form provided by or on behalf of the Scottish Ministers for that purpose for persons of that description.

    (3) Subject to paragraph (4), where a person is unable for the time being to act, a claim may be made on behalf of that person by another person.

    (4) The Scottish Ministers may refuse to accept a claim made by one person on behalf of another where, in the Scottish Ministers' opinion-

    (5) It is a further condition of entitlement to repayment under paragraph (1) that the claimant produces in support of the claim such evidence as the Scottish Ministers may reasonably require.

    (6) Where the Scottish Ministers are satisfied that a claimant is entitled to any repayment under paragraph (1) they shall-

    (7) On receipt of an authorisation given under paragraph (6)(a) the NHS trust or the Health Board shall pay the amount in question to the claimant.

Reimbursement of payments made in respect of relevant travelling expenses
     12.  - (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(6)(b) or (7), 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[
24].

Transitional provisions
     13. Where, before the date of coming into force of these Regulations-

Revocations
     14. The Regulations specified in Schedule 3 are revoked.


MALCOLM CHISHOLM
A member of the Scottish Executive

St Andrew's House, Edinburgh
1st August 2003



SCHEDULE 1
Regulation 8



PART I

CALCULATION OF RESOURCES

     1. A claimant's resources shall be calculated in terms of income and capital and shall be calculated as follows:-

     2. The provisions of the Income Support (General) Regulations 1987 shall be applied as follows:-




PART II

CALCULATION OF REQUIREMENTS

     3.  - (1) A claimant's requirements shall be calculated as being the amount referred to in head (a) below less, where applicable, the amount referred to in head (b) below, as follows:-

    (2) Subject to sub paragraph (3), where a claimant is jointly and severally liable for council tax in respect of a dwelling in which the claimant is resident with one or more other persons, the claimant's liability in respect of that tax for the purposes of these Regulations shall be the amount of that tax divided by the number of persons who are jointly and severally liable for that tax.

    (3) Sub paragraph (2) shall not apply where a claimant is jointly and severally liable for council tax in respect of a dwelling with only the claimant's partner.

     4. The provisions of the Income Support (General) Regulations 1987 specified in column (1) of Table B in this Schedule shall be applied-




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