(AGENPARL) - Roma, 21 Giugno 2022

(AGENPARL) – LONDON mar 21 giugno 2022

Abortion – confirmatory certificate Exempt Exempt Access to medical records – see PN 701/57 para 4.1 – – Adoption and fostering health assessment forms: – – Form IHA – health care plan for children Exempt Exempt Forms M/B – obstetric neonatal reports Exempt Exempt Forms C, D, YP or AME – full medical assessment of child Exempt Exempt Form AH/AH2 – health assessment, prospective carer Exempt SR Attendance at airports – reason for attendance varies – for example, could be to treat large number of sick passengers or confirm that passenger who has been arrested is fit to be detained. Liability will depend on purpose Exempt Exempt/SR Benefits Agency (Department for Work and Pensions) fees – examination and report – including attendance allowance exams/reports Exempt SR Blind or partially sighted – examination and completion of forms BD8/BP1 – allows Local Authority to register persons as blind/partially sighted, enabling them to qualify for benefits Exempt SR Blood tests-purpose of tests: Diagnostic Exempt Exempt Blood tests-purpose of tests: Paternity SR SR Blue/orange badge scheme – examination and/or report – periodic assessments required for car-parking badges for disabled and priority housing schemes Exempt SR Certificates/reports – see also PN 701/57 para 4.2: Assessment of minor injury – report/exam Exempt SR Certificates/reports – see also PN 701/57 para 4.2: Community service certificate for offenders who fail to attend Exempt SR Certificates/reports – see also PN 701/57 para 4.2: Cremation certificates Exempt Exempt Certificates/reports – see also PN 701/57 para 4.2: Freedom from infection certificate Exempt SR Certificates/reports – see also PN 701/57 para 4.2: Validation of Private Medical Insurance claim form Exempt Exempt Cervical smear test Exempt Exempt Character reference – Job, shotgun licence, etc SR SR Children in care – initial and subsequent examinations for ‘at risk’ children Exempt Exempt Childminder – Ofsted health declaration form – confirmation of medical fitness to be a childminder Exempt SR Clinical trials – see VATHLT2060 above Exempt/SR Exempt/SR Coroner’s work -post mortem/special examinations and report. But see also statutory services in PN 701/57 para 4.13 Exempt SR Cosmetic services – see PN 701/57 para 4.4 – – Court exemption- from attending as a witness on medical grounds. Medical and/or report Exempt SR Court of Protection – Certificate CP3 With/without examination Exempt SR Court of Protection – Serving notice Form CP7 Exempt SR Court of Protection – Power of Attorney including court of protection work Exempt SR Court of Protection- Examination and certificate Exempt SR Court of Protection – Witnessing power of attorney SR SR Diagnostic tests Exempt Exempt Disability Living Allowance (DLA) – factual report and completion of DS1500 form (for benefit purposes) Exempt SR Domiciliary consultations -Visits (including abortive ones) – to treat patients who are unable to make it to surgery Exempt Exempt Domiciliary consultations – Completion of form BD8 – for benefit purposes Exempt SR Driving – Full medical and/or report – to determine fitness to hold standard driving/LGV/HGV licence. Includes visual field tests, blood tests, ECGs etc Exempt SR Driving – Seat belt exemption – only completed where strong clinical reason (e.g. pregnancy) Exempt Exempt Driving – Driving licence signature SR SR Drug company reports – Post market surveillance form SR SR Drug company reports – Medical research questionnaire SR SR Education services – including lectures/presentations/CPD – see PN 701/57 para 4.5 – – Employment medicals – see PN 701/57 para 4.11 re occupational health – – Certificate of incapacity to do a particular activity Exempt Exempt Family Planning – see PN 701/57 para 4.6. Includes: Associated pathological and radiological work Exempt Exempt Family Planning – see PN 701/57 para 4.6. Includes: Clinical, family planning sessions for patients or instructing other doctors in family planning Exempt Exempt Fire Service – Examination and report New candidate Exempt SR Fire Service – Examination and report Officer seeking promotion Exempt SR Fire Service – Examination and report Pension approval Exempt SR Fire Service – Examination by ophthalmologist Exempt SR Forensic physicians – see PN 701/57. para 4.7: Note – charges for trainees attending the same call-out will attract the same liability as that of the forensic physician, as the trainee is a registered doctor – – Gender recognition work – to enable Department of Constitutional Affairs to issue documents that person’s gender has changed Exempt SR Health & Safety Executive – pathology and X-ray examinations – concerned with preventing injury by detecting early signs of diseases with long gestation periods Exempt Exempt Hospital appointments – – GP work in hospitals – where local GPs admit, treat and discharge their own patients in community hospitals. Sometimes a casualty service is also provided. Arrangements vary from one CCG to another – some GPs are engaged on an employed basis (OS); others on a self- employed basis (EX). Each case will need to be considered on the individual facts Outside the scope/Exempt Outside the scope/Exempt Medical superintendent of psychiatric hospital (employed basis) Outside the scope/Exempt Outside the scope/Exempt Liability of other part-time hospital (health) posts held by practitioners will depend on whether the post is held on an employed (outside the scope) or self-employed (exempt) basis Outside the scope/Exempt Outside the scope/Exempt Infection – Freedom from Infection certificate – to enable a person to attend school/work etc Exempt SR Insurance services – see PN 701/57 para 4.8 – – Legal aid regulations (fees under). Includes: – – Examinations and/or reports Exempt/SR SR MRI/CT scans – fee is for the doctor’s interpretation of the scans, not for the scans themselves Exempt SR Attendance at consultation Exempt SR Making arrangements to attend court Exempt/SR SR Attendance at court (expert witness) SR SR Local Authority visiting medical officer – to establishments maintained by local authorities Exempt Exempt Local Authority work -Consultant or specialist work: – – School ophthalmic session Exempt Exempt Dental anaesthetic session Exempt Exempt Local Authority work Psychiatric examinations – required to enable person to be treated under Mental Health Act Exempt Exempt Medical boards/tribunals – attendance by medical members at hearings for disciplinary or pension purposes SR SR Medical examinations and reports to confirm fitness to join registers of medical professions – for example, Nursing and Midwifery Council and General Dental Council Exempt SR Medical examinations-see PN 701/57 section 4 re occupational health, insurance services, certificates and reports. Also, medicals for: – – Seafarers-to ensure someone working offshore does not go to sea with a medical condition which is likely to detoriorate Exempt Exempt Compensation for ex-miners with vibration white finger Exempt SR Criminal Injuries Compensation Authority Exempt SR Medico-legal work – see PN 701/57 para 4.9 – – Mental Health tribunals – see PN 701/57 para 4.10 – – Minor surgery for non NHS patients. Fee can be charged for procedure excluding cost of drugs and dressings Exempt Exempt National Blood Service Exempt Exempt National Society for Prevention of Cruelty to Children – – Condition of child visit, examination, certificate – undertaken where vulnerable child unable to give account of medical history. Exams etc enable carer to adequately look after child and ensure ongoing health conditions treated Exempt Exempt Attendance at magistrate’s/crown court – see PN 701/57 para 4.9 – – NHS complaints and disciplinary procedures (services for) SR/Exempt SR Occupational Health – see PN 701/57 para 4.11 – – Overseas travel – Private prescription for travel abroad Exempt Exempt Overseas travel – Report for patients for self-referral overseas – for patients who have complex medical problems which might necessitate seeking medical treatment whilst abroad Exempt Exempt Pacemaker removal – prior to disposal of body Exempt Exempt Passport countersignature SR SR Pilots Application for licence, fitness to fly, etc Exempt SR Police work – – Retainers/attendance fees for call-outs to examine body/witness/detainee/victim/ other. Also applies to non-police surgeons Exempt Exempt Written report Exempt SR Police station Attendance at patient’s request (to document injuries for future medical claims) Exempt SR Financial assistance provided for continuing medical education – no direct link between supply and payment Outside the scope Outside the scope Post mortem examinations and reports – – Examination and report to coroner Exempt SR Anaesthetic deaths – where a doctor is instructed to interview a surgeon, anaesthetist or other person on connection with an anaesthetic death Exempt SR Pre-employment medicals/reports Exempt SR Primary care trust sessions England and Wales Exempt Exempt Prison locum work – to provide medical care Exempt Exempt Private prescription Exempt Exempt Rehabilitation services – see PN 701/57 para 4.12 – – Probation service – reports for the purpose of the courts, whether or not requested Exempt/SR SR Road accident emergency treatment Exempt Exempt Sporting events/pop concerts – attendance by doctors to treat attendees as necessary – usually where number attendees exceed a specified limit Exempt Exempt Statutory services – see PN 701/57 para 4.13 – – Vaccination and immunisation for travel abroad International certificate of vaccination Exempt Exempt Witness testimony and allowances – see PN 701/57 para 4.14 – – Work in surgery (not elsewhere covered): – – Pharmaceutical trials – certification as to suitability to take part as non-patient volunteer Exempt SR Report on a pro-forma – no examination Exempt SR

Fonte/Source: https://www.gov.uk/hmrc-internal-manuals/vat-health/vathlt2130