Made under the National Health Service Act 2006

18 statutory instruments made using powers in the National Health Service Act 2006, newest first. Each one is explained section by section in plain English.

The National Health Service (Help with Health Costs) (Miscellaneous Amendments) Regulations 2025

Published: Thu 6th Nov 25 Came into force: Mon 1st Dec 25

The Regulations amended rules governing NHS health costs, eligibility for travel expense remission, optical voucher entitlements, introduced free tuberculosis drug prescriptions, corrected cancer exemption issues for prepayment certificates, and updated prepayment certificate refund amounts.


The Secretary of State for Health and Social Care enacts these Regulations under the National Health Service Act 2006 to amend existing NHS charging and remission rules, specifically granting eligibility for full NHS charge remission and travel expense reimbursement to individuals medically evacuated from conflict zones.

Furthermore, the Regulations introduce free prescription charges for drugs supplying treatment for tuberculosis and its effects, correct previous amendments concerning automatic prepayment certificate cancellations for cancer patients gaining exemptions, and update the monetary values for prescription prepayment certificate refunds to align with current pricing structures.

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The Kent and Medway National Health Service and Social Care Partnership Trust (Establishment) and the West Kent National Health Service and Social Care Trust and the East Kent National Health Service and Social Care Partnership Trust (Dissolution) (Amendment) Order 2025

Published: Thu 18th Sept 25 Came into force: Mon 13th Oct 25

The 2025 Order amended the 2006 Order establishing the Kent and Medway NHS Trust, renaming it, updating its functions, and removing obsolete clauses.


The Kent and Medway National Health Service and Social Care Partnership Trust (Establishment) and the West Kent National Health Service and Social Care Trust and the East Kent National Health Service and Social Care Partnership Trust (Dissolution) (Amendment) Order 2025 amends the 2006 Order establishing the Kent and Medway National Health Service and Social Care Partnership Trust.

The amendment changes the Trust's name to 'Kent and Medway Mental Health National Health Service Trust', updates its defined functions to 'provide goods and services for the purposes of the health service,' and removes outdated provisions such as the 'operational date' and unnecessary definitions.

The changes take effect on October 13, 2025, and extend to England and Wales.

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The National Health Service (General Medical Services Contracts) (Prescription of Drugs etc.) (Amendment) Regulations 2025

Published: Mon 1st Sept 25 Came into force: Wed 1st Oct 25

The regulations amended the National Health Service (General Medical Services Contracts) (Prescription of Drugs etc.) Regulations 2004 to update the list of restricted drugs for erectile dysfunction and remove notification rules for certain influenza antivirals.


These regulations amend the 2004 National Health Service regulations concerning prescription drugs.

Specifically, they update the list of drugs for erectile dysfunction, removing Tadalafil and Vardenafil while adding Cialis and Levitra, and remove notification requirements for prescribing Oseltamivir and Zanamivir.

These changes aim to improve efficiency and access to necessary medications while streamlining administrative processes.

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The Yorkshire Ambulance Service National Health Service Trust (Establishment) (Amendment) Order 2025

Published: Wed 9th Jul 25 Came into force: Tue 1st Jul 25

The Order amended the Yorkshire Ambulance Service NHS Trust's establishment order, updating its functions, directorate composition, and removing obsolete provisions.


The Yorkshire Ambulance Service National Health Service Trust (Establishment) (Amendment) Order 2025 amends the 2006 establishment order.

It removes outdated definitions, simplifies the trust's stated functions to providing health service goods and services, increases the number of non-executive directors to six, and removes the operational date specification.

The changes aim to streamline the trust's governance and operations while conforming to current NHS standards.

The order took effect on July 1, 2025.

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The National Health Service (General Medical Services Contracts and Personal Medical Services Agreements) (Amendment) Regulations 2025

The 2025 regulations amended the 2015 General Medical Services Contracts and Personal Medical Services Agreements Regulations, updating processes for patient registration, GP Connect records access, patient guidance, safety reporting, practice contact, and partnership changes.


These regulations amend the 2015 National Health Service (General Medical Services Contracts) and (Personal Medical Services Agreements) Regulations.

Key changes mandate contractor approval for out-of-area patient registration, mandatory GP Connect functionality for electronic patient record access, links to patient guidance on practice websites, patient safety event recording, updated requirements for practice contact methods, and clarified procedures for removing violent patients and those with unknown addresses.

Changes also simplify processes concerning partnership changes.

These regulations apply to England and Wales and became effective primarily on July 21, 2025, with certain provisions starting on October 1, 2025.

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The Branded Health Service Medicines (Costs) (Amendment) Regulations 2025

Published: Tue 10th Jun 25 Came into force: Tue 1st Jul 25

The 2025 regulations amended the 2018 Branded Health Service Medicines (Costs) Regulations by changing payment percentages for branded medicines and adjusting the auditing process for presentation reports.


The Branded Health Service Medicines (Costs) (Amendment) Regulations 2025 modify the 2018 regulations governing payments from manufacturers and suppliers of branded medicines.

Key changes include altering payment percentages for different periods and updating auditing requirements for presentation reports, allowing an alternative 'agreed upon' procedure instead of a full audit.

The amendments aim to improve efficiency, ensure fair payment, and streamline administrative processes.

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The National Health Service (Charges, Remission of Charges and Pharmaceutical Services etc.) (Amendment and Transitional Provisions) Regulations 2025

Amendments were made to regulations governing NHS charges, remission of charges, pharmaceutical services, and pre-payment certificates, primarily related to tax credit changes, distance selling pharmacies, and improved refund processes.


The 2025 National Health Service regulations amend three existing sets of regulations: those concerning travel expenses and remission of charges, pharmaceutical and local pharmaceutical services, and charges for drugs and appliances.

Key changes include removing tax credit-based exemptions from charges, updating rules for distance-selling pharmacies, and introducing automated refunds for pre-payment certificates for those becoming eligible for exemptions.

The amendments aim to streamline processes, update services, and address policy shift related to the termination of tax credits.

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The East and North Hertfordshire National Health Service Trust (Establishment) (Amendment) Order 2025

Published: Fri 28th Mar 25 Came into force: Tue 1st Apr 25

The East and North Hertfordshire NHS Trust (Establishment) Order 2000 was amended to update the trust's name, functions, director requirements, and to remove obsolete clauses.


This order amends the 2000 Establishment Order for the East and North Hertfordshire NHS Trust.

It changes the trust's name to include "Teaching," updates its functions to focus on providing health services, modifies the director structure by adding non-executive directors (one from the University of Hertfordshire), and removes outdated provisions relating to its operational date.

The changes aim to modernize the trust's governance and legal framework.

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