National Health (Medical Benefits) Regulations (Cth)

STATUTORY RULES.

1953. No. 21.

REGULATIONS UNDER THE NATIONAL HEALTH SERVICE ACT 1948-1949.*

I, THE GOVERNOR-GENERAL in and over the Commonwealth of Australia, acting with the advice of the Federal Executive Council, hereby make the following Regulations under the NationalHealthServiceAct 1948-1949.

Dated this eleventh day of March, 1953.

(Sgd) W. J. McKell

Governor-General.

By His Excellency’s Command,

(Sgd) Earle Page

Minister of State for Health.

 

National Health (Medical Benefits) Regulations.

Part I.—Preliminary.

Citation.

1. These Regulations may be cited as the National Health (Medical Benefits) Regulations.

Repeal.

2. The National Health (Medical Expenses) Regulations, being Statutory Rules 1949, No. 92, are repealed.

Parts.

3. These Regulations are divided into Parts as follows:—

Part I.—Preliminary (Regulations 1-4).

Part II.—Establishment of Medical Benefits Scheme (Regulation 5).

Part III.—Registration of Organizations (Regulations 6-13).

Part IV.—Public Officers of Registered Organizations (Regulations 14-18).

Part V.—Payment of Commonwealth Benefits (Regulations 19-33).

Part VI.—Statements and Accounts (Regulations 34-36).

Part VII.—Miscellaneous (Regulations 37-43).

Interpretation.

4.—(1.) In these Regulations, unless the contrary intention appears—

“authorized” means authorized by the Director-General;

“Commonwealth benefit” means an amount, ascertained in accordance with these Regulations, which is payable by the Commonwealth in respect of a professional service rendered to a contributor and includes a payment under regulation 31 of these Regulations;

“contract arrangement” means an arrangement made by an organization with a medical practitioner under which professional services are provided for persons who contribute to

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* Notified in the Commonwealth Gazette on , 1953.

5415.—Price 3d. 15/5.3.1953.

the organization and for their spouses and dependants and the medical practitioner who renders those services is remunerated by the organization by a method of payment other than payment of fees for each professional service rendered to those persons;

“contributor” means—

(a) a person who pays contributions, or on whose behalf contributions are paid, to the medical benefits fund conducted by a registered organization and is, if he has any one of all of the professional services specified in the First Schedule to these Regulations rendered to him, entitled, subject to the rules of the registered organization—

(i) to receive from the registered organization a fund benefit of an amount equal to, or greater than, the amount specified in that Schedule in relation to the professional service; or

(ii) to have the professional service provided without charge under a contract arrangement; and

(b) the spouse or a dependant of such a person;

“fund benefit” means the amount, other than Commonwealth benefit, paid or payable by a registered organization under its rules in respect of medical expenses incurred by a contributor;

“medical benefits fund” means a fund conducted by an organization under the rules of which benefits are provided to persons who contribute to the fund by way of payments in respect of medical expenses incurred by those persons or their spouses or dependants or by way of the provision of professional services under a contract arrangement for those persons or their spouses or dependants, or both;

“medical expenses” means an amount paid or payable in respect of a professional service;

“medical practitioner” means a person registered or licensed as a medical practitioner under a law of the Commonwealth or of a State or Territory of the Commonwealth providing for the registration or licensing of medical practitioners;

“organization” means a society, body or group of persons, whether corporate or unincorporate, which conducts a medical benefits fund;

“professional service” means a medical service, specified in the First or Second Schedule to these Regulations, which is rendered by a medical practitioner;

“public officer” means a person appointed in pursuance of Part IV. of these Regulations to be the public officer of a registered organization;

“registered organization” means an organization registered under these Regulations;

“the Committee” means the Registration Committee referred to in regulation 10 of these Regulations.

(2.) A person shall be deemed to be, for the purposes of these Regulations, a dependant of a contributor if, under the rules of the organization, fund benefits in respect of professional services rendered to that person are payable in the same circumstances as fund benefits are payable to that contributor or professional services are provided for that person under a contract arrangement in the same circumstances as professional services are provided for that contributor.

Part II.—Establishment of Medical Benefits Scheme.

Establishment of scheme.

5.—(1.) A scheme called the Medical Benefits Scheme providing for the payment in accordance with these Regulations of Commonwealth benefit in respect of professional services rendered by medical practitioners is hereby established.

(2.) Commonwealth benefits under these Regulations shall be payable in respect of professional services rendered by medical practitioners after a date to be fixed by the Minister by notice published in the Gazette.

Part III.—Registration of Organizations.

Applications for registration.

6.—(1.) An organization the rules of which provide—

(a) that, subject to those rules, if a person who contributes to the medical benefits fund of the organization or the spouse or dependant of such a person has any one of the professional services specified in the First Schedule to these Regulations rendered to him—

(i) there shall be paid to that person a fund benefit of an amount equal to, or greater than, the amount specified in that Schedule in relation to the professional service; or

(ii) the professional service shall be provided without charge under a contract arrangement;

(b) that the profits of the medical benefits fund conducted by the organization shall be applied only in promoting the objects of the organization; and

(c) that dividends shall not be paid to persons who are members of, or contribute to, the organization,

is eligible to apply for registration under these Regulations.

(2.) The application shall be in the form authorized for the purposes of this regulation and shall be lodged with the Director-General.

(3.) The application shall be signed on behalf of the organization by a person directed so to do by the organization.

Documents to be furnished with applications.

7.—(1.) Subject to this regulation, an organization shall furnish to the Director-General with its application for registration—

(a) a copy of the instrument constituting the organization;

(b) a copy of the articles of association or rules of the organization;

(c) a copy of the revenue account and balance sheet of the medical benefits fund of the organization for the last completed accounting year prior to the date of the application for registration;

(d) a copy of the last report made by the organization to its members prior to the date of the application for registration;

(e) a statement setting out details of the management and administrative expenses and other disbursements incurred by, or made from, the medical benefits fund of the organization in the last completed accounting year prior to the date of the application for registration in respect of both payments for medical expenses and other payments;

(f) a statement showing, in respect of the last completed accounting year of the organization prior to the date of the application for registration—

(i) the number of persons who contributed to the medical benefits fund of the organization at the end of that year, subdivided according to the class of benefit for which contributions were made;

(ii) the respective number of persons who commenced to contribute and ceased to contribute to the medical benefits fund of the organization in that year, subdivided according to the class of benefit for which contributions were made; and

(g) a statement showing particulars of the classes of fund benefit provided by the organization and the contributions for, and the amount of, those benefits.

(2.) Where, by reason of the fact that an organization has not conducted a medical benefits fund for such a period as is necessary to enable the organization to furnish the documents referred to in paragraphs (c), (d) and (e) of the last preceding sub-regulation, the organization shall notify the Director-General accordingly.

(3.) The Director-General may, by notice in writing, require an organization which has furnished the notification referred to in the last preceding sub-regulation to furnish to him such information relating to the affairs, finances and conduct of the organization as is required by the notice.

(4.) The person who signs the application on behalf of the organization shall certify as to the truth and correctness of the copies of documents furnished for the purposes of the application for registration and of the information contained in the statements so furnished.

Additional information.

8. The Director-General may, by notice in writing, require an organization, or an officer of an organization that has applied for registration under these Regulations, to furnish him with such additional information relating to any of the matters specified in sub-regulation (1.) of the last preceding regulation or to the affairs, finances or conduct of the organization as is required by the. notice.

Director-General may refuse to entertain application.

9. Where an organization fails to comply with sub-regulation (1.) of regulation 7 of these Regulations or with a requirement of a notice given under either of the last two preceding regulations, the Director General may refuse to entertain the application for registration.

Registration Committee.

10. For the purposes of these Regulations, there shall be a Registration Committee which shall consist of—

(a) the Commonwealth Actuary or a person appointed by the Commonwealth Actuary to act in his stead; and

(b) an officer of the Department of Health appointed by the Director-General.

Application to be referred to the Committee.

11. The Director-General shall refer an application for registration, the documents furnished with the application and information (if any) furnished under regulations 7 and 8 of these Regulations and such other information as he may think fit to the Committee for examination and report to the Minister.

Report of the Committee.

12. The Committee shall, in its report, recommend to the Minister that the application by the organization he granted or refused and in making the recommendation the Committee shall take into account:—

(a) the number of persons who contribute to the medical benefits fund of the organization;

(b) the rate of contributions made by each of those persons to the medical benefits fund of the organization;

(c) the amount of the fund benefits payable by the organization, to or in respect of, those persons;

(d) the professional services which are arranged for, or in respect of which fund benefits are payable to or in respect of, those persons;

(e) the rules of the organization relating to payments out of the medical benefits fund of the organization; and

(f) the ratio which the amount paid as management and administration expenses bears to the amount of payments made by contributors to the medical benefits fund of the organization.

Registration.

13.—(1.) The Minister may, after taking into account the report of the Committee, grant the application for registration on such terms and conditions (if any) as he thinks fit or refuse the application.

(2.) The Director-General shall notify the organization in writing of the granting of the application for registration and the terms and conditions (if any) on which the Minister has granted the application, or of the refusal of the application, as the case requires.

Part IV.—Public Officers of Registered Organizations.

Appointment of public officer.

14. A registered organization shall, within fourteen days after the receipt by it of the notification of the granting of its application for registration, appoint a person to be the public officer of the organization for the purposes of these Regulations and shall, within seven days after the making of the appointment, furnish to the Director-General a notification of the appointment.

Duties of public officer.

15. The public officer shall perform, on behalf of the registered organization, all acts which are required or permitted to be performed by or under these Regulations and everything done by the public officer in his capacity as public officer shall be deemed to be done by the registered organization.

Liability of public officer.

16.—(1.) Where a registered organization contravenes, or fails to comply with, any of the provisions of these Regulations applicable to the registered organization, the contravention of, or failure to comply with, those provisions shall, without limiting in any way the liability of the organization, be deemed to be a contravention or failure by the public officer, and the public officer shall be punishable accordingly.

(2.) A person who has ceased to be the public officer of a registered organization remains liable for a contravention of, or failure to comply with, any of the provisions of these Regulations by a registered organization while he was the public officer of that organization.

Change of public officer.

17. A registered organization—

(a) may, at any time, revoke the appointment of a person as its public officer; and

(b) shall, where a person ceases to be its public officer by death or otherwise, forthwith appoint another person to be its public officer in the place of that first-mentioned person.

Director-General to be notified of change of appointment.

18. The registered organization shall, within seven days after the making of an appointment under the last preceding regulation, furnish to the Director-General a notification of the appointment.

Part V.—Payment of Commonwealth Benefits.

Commonwealth benefit payable in respect of professional services specified in First Schedule.

19. Where a contributor incurs medical expenses in respect of a professional service specified in the First Schedule to these Regulations and, except as provided by the rules of the registered organization to the medical benefits fund of which the contributor pays contributions but subject to regulation 25 of these Regulations, the contributor is entitled to a fund benefit equal to or greater than the amount specified in that Schedule in relation to that service, Commonwealth benefit of the amount so specified is, subject to this Part, payable.

Commonwealth benefit payable in respect of professional services specified in Second Schedule.

20. Where a contributor incurs medical expenses in respect of a professional service specified in the Second Schedule to these Regulations, Commonwealth benefit of the amount specified in that Schedule in relation to that professional service is, subject to this Part, payable, whether or not the contributor is entitled to payment of a fund benefit in respect of those expenses.

Amount of Commonwealth benefit payable where two or more operations are performed.

21.—(1.) Where two or more operations specified in the First or Second Schedule to these Regulations are performed on the one contributor on the same occasion, the amount of Commonwealth benefit payable in respect of the medical expenses incurred by that contributor is—

(a) where two operations are so performed and the amount specified in relation to each of those operations in either of those Schedules is the same amount—an amount which is one and one-half times the amount so specified in relation to one of those operations, or an amount of Eleven pounds five shillings, whichever is the less;

(b) where three operations are so performed and the amount specified in relation to each of those operations in either of those Schedules is the same amount—an amount which is one and three-quarters of the amount so specified, or an amount of Eleven pounds five shillings, whichever is the less;

(c) where more than three operations are so performed and the amount specified in relation to each of those operations is the same amount—the sum of—

(i) an amount which is one and three-quarters times the amount so specified; and

(ii) an amount ascertained by multiplying one-quarter of the amount so specified by the number by which the operations so performed exceeds three,

or an amount of Eleven pounds five shillings, whichever is the less;

(d) where two operations are so performed and the amounts specified in relation to those operations in either of those Schedules are not the same—the sum of—

(i) the amount which is the greater of the amounts so specified; and

(ii) an amount which is one-half of the other amount,

or an amount of Eleven pounds five shillings, whichever is the less; and

(e) where more than two operations are so performed and the amounts specified in relation to those operations are not the same—the sum of—

(i) the amount which is the greatest of the amounts so specified;

(ii) one-half of the second greatest of the amounts so specified; and

(iii) one-quarter of each of the other amounts so specified,

or an amount of Eleven pounds five shillings, whichever is the less.

(2.) In this regulation, “operation” includes the treatment of dislocations and fractures.

Provisions relating to Commonwealth benefit for anaesthetics.

22. Commonwealth benefit is not, except with the approval of the Director-General, payable for the administration of an anaesthetic unless the anaesthetic is administered by a medical practitioner other than the medical practitioner who renders the professional service in connexion with which the anaesthetic is administered.

After care deemed to form part of professional service.

23. Unless the Director-General otherwise directs, a professional service rendered to a contributor shall be deemed to include all professional attendances necessary after the rendering of the professional service and Commonwealth benefit is not payable in respect of those professional attendances.

Commonwealth benefit not payable if contributor eligible for free treatment under certain other Commonwealth Acts.

24. Commonwealth benefit is not payable in respect of medical expenses incurred by a contributor for a professional service—

(a) if the contributor is entitled to have that professional service rendered to him without charge under the RepatriationAct 1920-1952, the InterimForcesBenefitsAct 1947-1950, the Seamen’sWarPensionsandAllowancesAct 1940-1952 or the Social Services Consolidation Act 1947-1952; or

(b) if the professional service is a medical examination for life insurance purposes.

Provisions applicable where contributor is in arrears.

25.—(1.) Commonwealth benefit is not payable where a fund benefit is not payable by the registered organization—

(a) on the ground that the contributor has not paid all contributions due and owing by him to the registered organization; or

(b) on a ground other than the ground specified in the last preceding paragraph if the payment could have been refused on the ground so specified.

(2.) The last preceding sub-regulation does not apply where, on the date on which the contributions became due and owing, the contributor was in receipt of unemployment benefit or sickness benefit under the Social Services Consolidation Act 1947-1952.

Commonwealth benefit not payable where contributor is entitled to compensation or damages.

26. Where a contributor has received, may receive, or is entitled to receive, in respect of medical expenses incurred by him, a payment by way of compensation or damages (including settlement of a claim for damages) or otherwise under the law of the Commonwealth or a State or Territory of the Commonwealth, Commonwealth benefit is not payable except with the approval of the Director-General and subject to such terms and conditions as the Director-General determines.

Payment to be made to the nearest sixpence or shilling.

27. Where an amount ascertained in accordance with this Part is an amount expressed in pounds shilling and pence or shillings and pence—

(a) if the pence do not exceed six—the amount shall be deemed to be increased by treating the amount of the pence as six; and

(b) if the pence exceed six—the amount shall be deemed to be increased by treating the amount of the pence as a shilling.

Conditions of payment.

28.—(1.) Subject to regulation 40 of these Regulations, Commonwealth benefit is payable to the registered organization to the medical benefits fund of which the contributor pays his contributions, or, if a contributor pays contributions to more than one registered organization, to whichever of those organizations the contributor nominates.

(2.) Commonwealth benefit is not payable in respect of a professional service specified in the First or Second Schedule to these Regulations unless the registered organization has paid the amount of the fund benefit (if any) payable in respect of that professional service and the amount of the Commonwealth benefit payable under this Part in relation to that professional service—

(a) where the amount of the medical expenses incurred has been paid by, or on behalf of, the contributor—to the contributor or the person who made the payment on behalf of the contributor; or

(b) in any other case—to the person to whom the medical expenses are payable.

Reimbursement of Commonwealth benefit paid by registered organization.

29. Where the Director-General is satisfied that a registered organization has paid Commonwealth benefits in accordance with this Part, the amount of those Commonwealth benefits shall be paid to the registered organization by the Commonwealth.

Review of decision of registered organization.

30.—(1.) Where a contributor considers that a registered organization has wrongfully withheld from him the whole or part of the Commonwealth benefit payable in respect of medical expenses incurred by him, the contributor may request the Director-General to review the decision of the registered organization and, if the Director-General considers that the decision of the registered organization is incorrect, be may direct the registered organization to pay to the contributor the whole or part of the Commonwealth benefit.

(2.) A registered organization shall comply with a direction given under the last preceding sub-regulation.

Commonwealth benefit in case of contract arrangements.

31. Where some or all of the professional services specified in the First Schedule to these Regulations are provided for contributors under a contract arrangement made by a registered organization, the Minister may, in his discretion, authorize payment to the registered organization to which those contributors pay contributions of an amount not exceeding one-half of the payments made by the registered organization to medical practitioners under the contract arrangement.

Claims by registered organizations.

32. Payment by the Commonwealth under this Part shall not be made unless the registered organization furnishes to the Director-General, as soon as practicable after the end of each month, a claim in respect of that month, in the form authorized for the purposes of this regulation, together with such further information and evidence relating to the claim as is indicated in the form or as the Director-General requires.

Advances.

33.—(1.) The Director-General may, in his absolute discretion, make an advance to a registered organization, on such terms and conditions as he thinks fit, for the purpose of enabling the registered organization to make payment of the Commonwealth benefits under these Regulations.

(2.) Where an advance has been made in pursuance of the last preceding sub-regulation and the amount payable to the registered organization in respect of any month is less than the amount of the advance, the amount of the difference shall be recoverable as a debt due to the Commonwealth.

Part VI.—Statements and Accounts.

Examination of books and accounts of registered organizations.

34.—(1.) Where, in the opinion of the Director-General, it is desirable that the books and accounts of a registered organization be examined, the Director-General may, by writing under his hand, authorize an officer of the Department of Health to examine and report on those books and accounts.

(2.) An officer authorized under this regulation shall, at all reasonable times, have full and free access to any premises in which the books and accounts are kept and may make extracts from, or copies of, the books and documents.

(3.) The Director-General may, by notice in writing require a person who is or has been an officer, servant or agent of a registered organization—

(a) to furnish, within the time, specified in the notice, to him or to an officer specified in the notice such information relating to the affairs of the registered organization as is required by the notice;

(b) to attend, at a time and place specified in the notice, before him or an officer specified in the notice and give evidence relating to the affairs of the registered organization; or

(c) to produce, at a time and place specified in the notice, all books, documents and accounts in his custody or under his control relating to the affairs of the registered organization.

(4.) The Director-General may require the information to be furnished, or the evidence to be given, on oath and either orally or in writing and, for that purpose, he or the officer specified in the notice may administer an oath or affirmation.

(5.) A person shall not—

(a) refuse or fail to comply with a requirement contained in a notice given to him under sub-regulation (3.) of this regulation; or

(b) refuse to be sworn or to make an affirmation.

Particulars to be furnished annually to Director-General.

35.—(1.) A registered organization shall, within three months of, the expiration of the registered organization’s accounting year, or within such further time as the Director-General on the application of the registered organization allows, furnish to the Director-General—

(a) a copy of the balance-sheet and revenue account of the medical benefits fund of the organization for that year;

(b) a statement setting out details of the management and administrative expenses and other disbursements incurred by, or made from, the medical benefits fund of the organization in that year in respect of both payments for medical expenses and other payments; and

(c) a statement showing in respect of that year—

(i) the number of persons who contribute to the medical benefits fund of the organization at the end of that year, sub-divided according to the class of fund benefit for which they made contributions; and

(ii) the respective numbers of persons who commenced to contribute and who ceased to contribute to the medical benefit fund of the organization in that year.

(2.) The registered organization shall certify as to the truth and correctness of the copies of the documents furnished under the last preceding sub-regulation and of the information contained in the statements so furnished.

Particulars may be referred to Committee.

36.—(1.) The Director-General may refer to the Committee for examination any reports and extracts from, and copies of, books and documents made by an officer under regulation 34 of these Regulations and the copies and the statements referred to in the last preceding regulation.

(2.) The Committee may, after examining the documents, make such recommendations to the Minister as it thinks fit.

Part VII.—Miscellaneous.

Commonwealth benefits in other cases.

37.—(1.) The Minister may, on the recommendation of the Director-General, authorize payment by the Commonwealth of benefits in respect of medical expenses incurred for professional services by such persons, or persons included in such classes of persons, not being contributors, as the Minister determines.

(2.) Benefits under this regulation shall be paid in such amounts, not exceeding the amounts payable under Part V. of these Regulations, and subject to such conditions, as the Minister determines.

Payments where contributors are temporarily absent from Australia.

38.—(1.) Where a contributor who is a resident of Australia and is temporarily absent from Australia incurs medical expenses for a professional service rendered by a medical practitioner, Commonwealth benefit is, subject to the next succeeding sub-regulation, payable in accordance with Part V. of these Regulations.

(2.) Commonwealth benefit under the last preceding sub-regulation shall be paid in such manner and to such person as the Director-General determines.

(3.) In this regulation—

“medical practitioner” means a person qualified to practise as a medical practitioner under the law of the place where the professional service was rendered;

“resident of Australia” means a person who ordinarily resides in Australia, and includes a person who is a resident of Australia within the meaning of the Income Tax and Social Services Contribution Assessment Act 1936-1952 other than a person who is a resident of Norfolk Island, the Territory of Papua or the Territory of New Guinea.

Notification of change of particulars.

39.—(1.) If, after the registration of an organization under these Regulations, the registered organization changes—

(a) the constitution of the organization;

(b) the articles of association or rules of the organization;

(c) the tables or classes of fund benefits provided by the organization or the contributions for, and the amount of those benefits; or

(d) in the case of a registered organization which provides professional services under a contract arrangement—the terms and conditions under which professional services are provided under the arrangement,

the registered organization shall, within fourteen days after the change is made, notify the Director-General in writing of the change.

(2.) The Director-General shall refer the notification to the Committee.

(3.) The Committee may, after examining the effect of the change, make such recommendations to the Minister as it thinks fit.

Cancellation or suspension of registration.

40.—(1.) The Minister may, by notice in writing, suspend for such period as is specified in the notice, the registration of an organization or may cancel registration of an organization where—

(a) the Committee has recommended the suspension or cancellation of the registration of the organization;

(b) the Minister has reason to believe that the organization has failed to comply with the terms and conditions under which the registration of the organization was granted; or

(c) the Minister has reason to believe that the organization has contravened or failed to comply with a provision of these Regulations.

(2.) Unless the Minister otherwise directs, Commonwealth benefits are not payable in respect of professional services rendered to the contributors to the medical benefits fund of an organization during the period for which the registration of the organization is suspended.

(3.) Where the Minister gives a direction referred to in the last preceding sub-regulation, Commonwealth benefits shall be payable to the contributors of that organization in such manner, and subject to such conditions, as the Minister determines.

(4.) Where the registration of an organization is cancelled, that organization ceases to be a registered organization, and Commonwealth benefits are not payable in respect of professional services rendered to the contributors to the medical benefits fund of the organization after the date of cancellation of registration.

(5.) The Minister may, in his discretion, revoke, by notice in writing, a suspension or cancellation made under this regulation and may direct that the revocation have, effect from such date, either before or after the date of the notice, as is specified in the notice.

Delegation.

41.—(1.) The Minister or the Director-General may, by writing under his hand, delegate any of his powers or functions under these Regulations (except this power of delegation) so that the delegated powers and functions may be exercised or performed by the delegate with respect to the matter or class of matter, or the State or part of Australia, specified in the instrument of delegation.

(2.) A delegation by the Minister or the Director-General is revocable in writing at will and does not prevent the exercise of a power or function by the Minister or the Director-General, as the case may be.

Notification of registrations, &c.

42. The Director-General shall, from time to time, publish in the Gazette a notice specifying—

(a) particulars of organizations which are registered under regulation 13 of these Regulations;

(b) particulars of the cancellations and suspensions of the registration of organizations which are made under regulation 40 of these Regulations; and

(c) particulars of revocations of cancellations and suspensions which are made under that regulation.

Offences.

43.—(1.) A person or a registered organization shall not—

(a) make, either orally or in writing, a false or misleading statement in or in connexion with, or in support of, an application for registration of an organization or claim for Commonwealth benefit;

(b) obtain payment of a Commonwealth benefit which is not payable;

(c) obtain payment of a Commonwealth benefit or other payment under these Regulations by means of a false or misleading statement;

(d) make a statement, or present a document, which is false in any particular to a registered organization or a person doing duty in relation to these Regulations; or

(e) contravene or fail to comply with a provision of these Regulations which is applicable to him or to it.

(2.) A person shall not, for any purpose whatsoever, make a representation that an organization, association or body that is not a registered organization is a registered organization.

Penalty: Fifty pounds or imprisonment for six months.

THE SCHEDULES.

 

FIRST SCHEDULE.

Regulation 19.

Commonwealth Benefits for Professional Services in Respect of which Fund Benefits are also Payable by Registered Organizations.

Item No.	Professional Service.	Commonwealth Benefit.
Part 1.—Professional Attendances.
£	s.	d.
1.	Professional attendance (including attendance at rooms, surgery, home or hospital) by—
	(1) A medical practitioner other than a specialist in the practice of his specialty—each attendance................................................................................	6	0
	(2) A specialist in the practice of his specialty—
	(a) When patient referred by another medical practitioner—
	(i) For the first attendance..............................................	1	0	0
	(ii) For each subsequent attendance during the same course of treatment..............................................................	10	0
	(b) When patient not referred by another medical practitioner—each attendance .......................................................................	6	0
Part 2.—Administration of Anaesthetics.
2.	Administration of anaesthetics, whether by one or more than one medical practitioner (not covered by any other item of this Schedule or the Second Schedule to these Regulations) including pre-medication and pre-operative examination in preparation for anaesthesia, namely:—
	(1) General anaesthetic (not covered by any other sub-item of this item) for—
	(a) Major operation...................................................................	1	2	6
	(b) Minor operation or investigation—
	(i) Lasting less than half an hour.....................................	7	6
	(ii) Lasting half an hour or longer....................................	15	0
	(2) Intravenous anaesthetic for—
	(a) Major operation...................................................................	1	10	0
	(b) Minor operation...................................................................	1	2	6
	(3) Local anaesthetic for—
	(a) Major operation...................................................................	1	2	6
	(b) Minor operation...................................................................	7	6
	(4) Spinal anaesthetic.............................................................................	1	10	0
	(5) Two or more anaesthetics administered in respect of one operation or a series or combination of operations performed on the same person on the same occasion—
	(a) If one or more of the anesthetics is a spinal anaesthetic...........	1	10	0
	(b) If one or more of the anaesthetics is an intravenous anaesthetic, but none of the anaesthetics is a spinal anaesthetic—
	(i) For a major operation................................................	1	10	0
	(ii) For a minor operation................................................	1	2	6

The Schedules—continued.

First Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 2.—Administration of Anaesthetics—continued.
£	s.	d.
(c) If none of the anaesthetics are spinal or intravenous anaesthetics—
(i) For a major operation...........................................	1	2	6
(ii) For a minor operation lasting less than half an hour	7	6
(iii) For a minor operation lasting half an hour or longer	15	0
Part 3.—Operations.
Division 1.—Ear, Nose and Throat.
3.	Removal of tonsils or tonsils and adenoids of—
	(1) Persons under twelve years of age........................................................	1	17	6
	(2) Persons twelve years of age or over......................................................	3	0	0
4.	Removal of adenoids.........................................................................................	15	0
5.	Paracentesis tympani, myringotomy, operation for acute otitis media, operation for abscess of middle ear....................................................................................................	1	2	6
6.	Maxillary antrum proof puncture........................................................................	15	0
7.	Cortical mastoidectomy.....................................................................................	5	12	6
8.	Intubation of larynx...........................................................................................	1	17	6
9.	Tracheotomy....................................................................................................	3	15	0
10.	Incision of peritonsillar abscess (quinsy)............................................................	15	0
Division 2.—General Surgical.
11.	Cholecystectomy..............................................................................................	11	5	0
12.	Cholecystostomy..............................................................................................	5	12	6
13.	Suture of perforated gastric ulcer.......................................................................	7	10	0
14.	Appendicectomy...............................................................................................	5	12	6
15.	Drainage of appendiceal abscess, or for ruptured appendix or for peritonitis.........	5	12	6
16.	Splenectomy.....................................................................................................	11	5	0
17.	Repair of hernia, namely:—
	(1) Umbilical—
	(a) Persons under ten years of age................................................	2	12	6
	(b) Persons ten years of age or over..............................................	5	12	6
	(2) Incisional, double or strangulated.........................................................	7	10	0
	(3) Femoral, inguinal or ventral (not being incisional, double or strangulated hernia)......................................................................................................

5	12	6
18.	Laparotomy, namely:—
	(1) Exploratory........................................................................................	5	12	6
	(2) Involving operations on abdominal viscera not covered by any other item or sub-item in this Schedule.......................................................................	7	10	0
19.	Removal of varicocoele.....................................................................................	3	15	0
20.	Enterostomy.....................................................................................................	5	12	6
21.	Gastrostomy.....................................................................................................	5	12	6
22.	Colostomy........................................................................................................	5	12	6
23.	Treatment of intussusception, namely:—
	(1) Reduction by fluid..............................................................................	3	15	0
	(2) Laparotomy and reduction...................................................................	7	10	0
	(3) Laparotomy and resection....................................................................	11	5	0
24.	Reduction of volvulus.......................................................................................	7	10	0
25.	Separation of peritoneal adhesions.....................................................................	5	12	6
26.	Paracentesis abdominis......................................................................................	15	0

The Schedules—continued.

First Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 3.—Operations—continued.
£	s.	d.
27.	Tapping of hydrocoele......................................................................................	15	0
28.	Removal of hydrocoele.....................................................................................	3	15	0
29.	Removal, incision, ligation or cauterization of haemorrhoids...............................	4	10	0
30.	Excision of fistula in ano...................................................................................	5	12	6
31.	Incision of ischio-rectal abscess.........................................................................	1	17	6
32.	Excision of fissure in ano..................................................................................	1	17	6
33.	Dilatation of anus..............................................................................................	15	0
34.	Excision of rectal polypus.................................................................................	1	17	6
35.	Orchidectomy-simple........................................................................................	4	10	0
36.	Transplantation of undescended testis or testes...................................................	5	12	6
37.	Circumcision of—
	(1) Infants aged less than twelve months....................................................	15	0
	(2) Persons one year of age or over............................................................	1	17	6
38.	Suture of—
	(1) One nerve trunk..................................................................................	2	12	6
	(2) Two or more nerve trunks....................................................................	4	10	0
39.	Suture of tendo achillis or other large tendon......................................................	3	15	0
40.	Suture of tendons not covered by item 39 of this Schedule, namely:—
	(1) Primary suture of—
	(a) Flexor tendons of hand—
	(i) One tendon................................................................	2	12	6
	(ii) Two or more tendons..................................................	3	15	0
	(b) Extensor tendons of hand—
	(i) One tendon................................................................	1	17	6
	(ii) Two or more tendons..................................................	2	12	6
	(c) Tendons of foot—
	(i) One tendon................................................................	1	17	6
	(ii) Two or more tendons..................................................	2	12	6
	(2) Secondary suture of—
	(a) Flexor tendons of hand—
	(i) One tendon................................................................	3	15	0
	(ii) Two or more tendons..................................................	5	12	6
	(b) Extensor tendons of hand—
	(i) One tendon................................................................	2	12	6
	(ii) Two or more tendons..................................................	3	15	0
	(c) Tendons of foot—
	(i) One tendon................................................................	2	12	6
	(ii) Two or more tendons..................................................	3	15	0
41.	Excision of ganglion of wrist.............................................................................	1	17	6
42.	Excision of bursa—
	(1) Small..................................................................................................	1	17	6
	(2) Large (including olecranon, calcanean or patellar).................................	3	15	0
43.	Incision of bursa...............................................................................................	15	0
44.	Excision of exostosis.........................................................................................	1	17	6
45.	Incision with drainage of—
	(1) Furuncle, small abscess, or similar lesion not requiring a general anaesthetic	15	0
	(2) Large abscess, carbuncle, cellulitis or similar lesion requiring a general anaesthetic......................................................................................	15	0

The Schedules—continued.

First Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 3.—Operations—continued.
£	s.	d.
46.	Operations for acute tenosynovitis....................................................................	1	17	6
47.	Drainage of middle palmar, thenar or hypothenar spaces....................................	1	17	6
48.	Incision for pulp space, paronychia and other acute infections of hands or feet, not covered by any other item or sub-item of this Schedule...................................	15	0
49.	Ligation of vessels, namely:—
	(1) Veins and small arteries.....................................................................	15	0
	(2) Medium arteries................................................................................	1	17	6
	(3) High saphenous ligation.....................................................................	3	15	0
	(4) Great vessels (carotids and jugulars)...................................................	5	12	6
50.	Biopsy (including aspiration biopsy, excision of lymph gland or glands, biopsy of cervix or section of breast) not covered by any other item or sub-item of this Schedule	1	2	6
51.	Removal of cysts and tumours, namely:—
	(1) Cysts and tumours not covered by any other item or sub-item of this Schedule	1	2	6
	(2) Cyst or simple tumour of breast (minor operation)...............................	1	17	6
	(3) Deep tumours or cysts malignant or non-malignant (not covered by any other item or sub-item of this Schedule) requiring wide excision................	3	15	0
52.	Paracentesis or aspiration of thoracic cavity—either or both...............................	15	0
53.	Radical treatment of empyema involving resection of rib....................................	3	15	0
54.	Amputation of breast—simple..........................................................................	5	12	6
55.	Operation for acute osteomyelitis, namely:—
	(1) Of phalanx metacarpal or metatarsal (one bone)..................................	1	17	6
	(2) Of tibia, ulna, clavicle, rib, tarsus, carpus, fibula or radius (one bone)...	3	0	0
	(3) Of humerus or femur (one bone).........................................................	3	15	0
	(4) Of any combination of bones specified in sub-item (1) or (2) of this item	4	10	0
	(5) Of any combination of bones specified in sub-item (3) of this item or in that sub-item and sub-item (1) or (2) of this item...........................................	7	10	0
56.	Craniotomy not covered by any other item or sub-item of this Schedule..............	11	5	0
57.	Lumbar puncture..............................................................................................	15	0
58.	Removal of foreign bodies not covered by any other item or sub-item of this or the Second Schedule to these Regulations—
	(1) Superficial........................................................................................	6	0
	(2) Subcutaneous....................................................................................	1	2	6
	(3) Deep.................................................................................................	2	12	6
59.	Suture of traumatic wounds not covered by any other item or sub-item of this Schedule—each attendance............................................................................................	6	0
Division 3.—Urological.
60.	Catheterization of bladder.................................................................................	15	0
61.	Passage of urethral sounds—dilatation of urethral stricture.................................	1	2	6
62.	Suprapubic cystostomy.....................................................................................	2	12	6
63.	Nephrectomy—complete or partial....................................................................	11	5	0
64.	Drainage of perinephric abscess........................................................................	5	12	6
65.	Repair of ruptured urethra or bladder.................................................................	9	7	6

The Schedules—continued.

First Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 3.—Operations—continued.
£	s.	d.
Division 4.—Gynaecological.
66.	Hysterectomy—
	(1) Subtotal..............................................................................................	7	10	0
	(2) Total...................................................................................................	11	5	0
67.	Hysterectomy and plastic repair operations..........................................................	11	5	0
68.	Repair of cystocoele or rectocoele not covered by item 70 of this Schedule...........	5	12	6
69.	Repair of cystocoele and rectocoele not covered by item 70 of this Schedule.........	7	10	0
70.	Colporrhaphy, Donald-Fothergill or Manchester operation (operation for genital prolapse).....................................................................................................	9	7	6
71.	Amputation or repair of cervix not covered by item 70 of this Schedule................	3	15	0
72.	Cauterization, ionization or diathermy of cervix...................................................	1	17	6
73.	Curettage with or without dilatation....................................................................	1	17	6
74.	Dilatation of cervix not covered by item 73 of this Schedule.................................	1	10	0
75.	Salpingectomy or salpingo-oophorectomy—
	(a) Unilateral............................................................................................	5	12	6
	(b) Bilateral..............................................................................................	7	10	0
76.	Oophorectomy, excision of ovarian, parovarian, fimbrial, and broad ligament cysts, not covered by any other item or sub-item of this Schedule..................................	6	7	6
77.	Removal of ectopic gestation..............................................................................	7	10	0
78.	Suspension or fixation of uterus, internal or external shortening of round ligaments	5	12	6
79.	Myomectomy....................................................................................................	5	12	6
80.	Colpotomy........................................................................................................	1	17	6
81.	Suprapubic drainage of pelvic abscess.................................................................	5	12	6
82.	Excision of Bartholinian cyst..............................................................................	1	17	6
83.	Gynaecological examination under anaesthesia....................................................	15	0
84.	Removal of simple tumour of perineum or vulva.................................................	1	17	6
85.	Incision of Bartholinian abscess..........................................................................	1	2	6
86.	Excision of vaginal cysts....................................................................................	1	17	6
87.	Excision of, or cautery to, urethral caruncle.........................................................	1	17	6
Division 5.—Ophthalmological.
88.	Extirpation of tarsal cyst....................................................................................	15	0
89.	Removal of foreign body from cornea or sclera...................................................	7	6
90.	Enucleation of eye.............................................................................................	5	12	6
Division 6.—Amputations and Disarticulations of Limbs
91.	Amputation or disarticulation—
	(1) Finger or fingers, thumb or thumbs—
	(a) One finger or thumb................................................................	1	10	0
	(b) Each additional finger or thumb...............................................	7	6
	(2) Through metacarpals...........................................................................	3	15	0
	(3) Hand..................................................................................................	5	12	6
	(4) Forearm..............................................................................................	5	12	6
	(5) Through arm.......................................................................................	5	12	6
	(6) At shoulder.........................................................................................	9	7	6

The Schedules—continued.

First Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 3.—Operations—continued.
£	s.	d.
(7) Toe or toes—
(a) One toe (or great toe)............................................................	1	17	6
(b) Each additional toe (or great toe)...........................................	7	6
(8) Foot..................................................................................................	7	10	0
(9) Through leg.......................................................................................	7	10	0
(10) At knee.............................................................................................	7	10	0
(11) Through thigh....................................................................................	9	7	6
(12) At hip................................................................................................	11	5	0
Division 7.—Miscellaneous.
92.	Assisting at operation—In respect of not more than one medical practitioner (not being the anaesthetist) who assists at any operation or series or combination of operations performed on the same patient on the same occasion—
	(1) Operations not exceeding one hour in duration....................................	15	0
	(2) Operations exceeding one hour in duration—
	(a) First hour..............................................................................	15	0
	(b) Each additional half-hour or part thereof................................	3	9
93.	Collection intravenously of blood specimen for pathological test..........................	7	6
94.	Injection intravenously of saline and glucose.......................................................	15	0
95.	Blood transfusion—
	(1) Collection from donor and transfusion................................................	2	5	0
	(2) Using pooled blood or blood already collected....................................	1	10	0
96.	Collection of blood for purposes of transfusion....................................................	1	2	6
Part 4.—Midwifery.
Division 1.—General.
97.	Ante-natal care (excluding any service or services covered by item 101, 103 or 104 or 105 of this Schedule)—
	(a) Where attendances do not exceed seven—each attendance.....................	6	0
	(b) Where attendances exceed seven..........................................................	2	2	0
98.	Confinement and post-natal care for nine days, excluding any service or services covered by item 102, 103, 106, 107 or 108 of this Schedule, where the medical practitioner has not given the ante-natal care..........................................................................	2	5	0
99.	Ante-natal care, confinement and post-natal care for nine days, excluding any service or services covered by items 101 to 108 (inclusive) of this Schedule....................	3	15	0
100.	Caesarean section..............................................................................................	7	10	0
Division 2.—Additional Benefits for Special Services.
101.	Toxaemia of pregnancy, eclampsia or ante-partum haemorrhage—each attendance	6	0
102.	Post-partum haemorrhage requiring special procedures such as packing................	1	2	6
103.	Surgical induction of labour................................................................................	1	2	6
104.	External version under anaesthesia......................................................................	1	2	6
105.	Internal version under anaesthesia.......................................................................	1	2	6
106.	Repair of third degree tear..................................................................................	1	2	6

The Schedules—continued.

First Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 4.—Midwifery—continued.
£	s.	d.
107.	Evacuation by manual removal of the products of conception such as retained foetus, placenta, membranes or mole.........................................................................	1	2	6
108.	Decapitation, craniotomy, cleidotomy or evisceration of foetus or any two or more of those services................................................................................................	5	12	6
Part 5.—Injections and Vaccinations.
109.	Local infiltration around nerve or in muscle with Novocaine or similar preparation—each attendance at which one or more injections are given.......................................	7	6
110.	Injection of varicose veins or haemorrhoids—each attendance at which one or more injections are given........................................................................................	7	6
111.	Injections not covered by any other item or sub-item of this Schedule (including hypodermic, intramuscular or intravenous injections of morphine, atropine, vaccines, penicillin, or vitamin products)—each attendance............................................	6	0
112.	Immunization against diphtheria, whooping cough or tetanus—each attendance....	6	0
113.	Inoculation (prophylactic) against cholera, typhoid fever, paratyphoid fever (T.A.B. inoculation), plague or typhus—each attendance.............................................

6	0
114.	Vaccination against smallpox—each attendance..................................................	6	0
Part 6.—Treatment of Dislocations.
Division 1.—Not Necessitating Open Operation.
115.	Treatment of dislocation of—
	(1) Mandible—
	(a) First or second dislocation......................................................	15	0
	(b) Third or subsequent dislocation...............................................	7	6
	(2) Clavicle..............................................................................................	2	5	0
	(3) Shoulder—
	(a) First or second dislocation......................................................	1	17	6
	(b) Third or subsequent dislocation—
	(i) Requiring anaesthesia................................................	1	17	6
	(ii) Not requiring anaesthesia...........................................	15	0
	(4) Elbow.................................................................................................	2	5	0
	(5) Carpal bone........................................................................................	1	10	0
	(6) Carpus on radius and ulnar...................................................................	3	15	0
	(7) Finger.................................................................................................	15	0
	(8) Metacarpo-phalangeal joint of thumb...................................................	1	17	6
	(9) Hip.....................................................................................................	5	12	6
	(10) Knee..................................................................................................	4	10	0
	(11) Patella................................................................................................	1	10	0
	(12) Ankle.................................................................................................	2	12	6
	(13) Toe.....................................................................................................	15	0
	(14) Tarsus or tarsal bone...........................................................................	1	17	6

Division 2.—Treatment of Dislocations requiring Open Operation.

116. Treatment of a dislocation referred to in item 115 of this Schedule which requires an open operation—the amount specified for the treatment of that dislocation in that item if an open operation had not been required, plus one-half of that amount.

The Schedules—continued.

First Schedules—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 7.—Treatment of Fractures.
£	s.	d.
Division 1.—Simple and Uncomplicated Fractures not requiring Open Operation and not involving Treatment of a Joint or Joints.
117.	Treatment of fracture of—
	(1) Terminal phalanx of—
	(a) Finger or thumb....................................................................	15	0
	(b) More than one finger, or of thumb and one or more fingers......	1	2	6
	(2) Proximal phalanx of—
	(a) Fing er or thumb....................................................................	1	17	6
	(b) More than one finger or of thumb and one or more fingers......	2	12	6
	(3) Middle phalanx of—
	(a) Finger...................................................................................	1	2	6
	(b) More than one finger.............................................................	1	17	6
	(4) One or more metacarpals not involving base of first carpo-metacarpal joint	1	17	6
	(5) One or more metacarpals including the base of the first metacarpal and involving the first carpo-metacarpal joint (Bennett’s fracture)..........	2	12	6
	(6) Carpal bone (excluding navicular).......................................................	1	10	0
	(7) Navicular or carpal scaphoid...............................................................	3	15	0
	(8) Radius................................................................................................	2	5	0
	(9) Ulna...................................................................................................	1	17	6
	(10) Both shafts of forearm.........................................................................	4	10	0
	(11) Wrist—
	(a) Colles’s fracture...................................................................	2	12	6
	(b) Distal end of radius...............................................................	2	12	6
	(c) Distal end of ulna..................................................................	2	12	6
	(12) Humerus............................................................................................	4	10	0
	(13) Clavicle.............................................................................................	1	17	6
	(14) Scapula..............................................................................................	2	12	6
	(15) Sternum.............................................................................................	1	17	6
	(16) One or more ribs.................................................................................	1	10	0
	(17) Maxilla..............................................................................................	3	15	0
	(18) Mandible............................................................................................	4	10	0
	(19) Zygoma.............................................................................................	1	17	6
	(20) Pelvis (excluding symphysis pubis)......................................................	4	10	0
	(21) Symphysis pubis.................................................................................	3	15	0
	(22) Femur................................................................................................	7	10	0
	(23) Patella................................................................................................	1	17	6
	(24) Tibia..................................................................................................	3	15	0
	(25) Fibula................................................................................................	1	17	6
	(26) Both shafts of leg................................................................................	5	12	6
	(27) Ankle (Pott’s fracture) with or without dislocation of ankle...................	5	12	6
	(28) Tarsal bone (excepting os calcis or os talus).........................................	1	17	6
	(29) Os calcis (calcaneus)...........................................................................	3	15	0
	(30) Os talus..............................................................................................	3	15	0
	(31) One or more metatarsals......................................................................	1	17	6

The Schedules—continued.

First Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 7.—Treatment of Fractures—continued.
£	s.	d.
(32) Phalanx of toe (other than of great toe).................................................	15	0
(33) More than one phalanx of toe (other than of great toe)...........................	1	2	6
(34) Distal phalanx of great toe...................................................................	1	2	6
(35) Proximal phalanx of great toe..............................................................	1	10	0
(36) Skull..................................................................................................	3	15	0
(37) Nasal bones—
(a) Not requiring reduction.........................................................	15	0
(b) Requiring reduction..............................................................	1	17	6
(38) Spine—
(a) Transverse process or bone other than vertebral body, not requiring immobilization in plaster...................................................	1	17	8
(b) Transverse process or bone other than vertebral body, requiring immobilization in plaster...................................................	4	10	0
(c) Fracture of vertebral bodies—
(i) Without involvement of cord......................................	7	10	0
(ii) With involvement of cord..........................................	11	5	0

Division 2.—Treatment of Simple and Uncomplicated Fractures requiring Open Operation.

118. Treatment of a simple and uncomplicated fracture of a part referred to in item 117 of this Schedule requiring an open operation but not involving a joint or joints—the amount specified for the treatment of that fracture in that item if an open operation and treatment involving a joint or joints had not been required, plus one-third of that amount or an amount of Eleven pounds five shillings, whichever is the less.

Division 3.—Treatment of Simple Fractures involving Joints and requiring Open Operation.

119. Treatment of a simple fracture of a part referred to in item 117 of this Schedule involving a joint or joints and requiring an open operation—the amount specified for the treatment of that fracture in that item if an open operation and treatment involving a joint or joints had not been required, plus one-third of that amount or an amount of Eleven pounds five shillings, whichever is the less.

Division 4.—Treatment of Compound Fractures requiring Open Operation.

120. Treatment of a compound fracture of a part referred to in item 117 of this Schedule requiring an open operation—the amount specified in that item for the treatment of that fracture if the fracture was a simple and uncomplicated one and did not require an open operation and did not involve treatment of a joint or joints, plus one-half of that amount or an amount of Eleven pounds five shillings, whichever is the less.

Division 5.—Treatment of Complicated Fractures involving Viscera, Blood Vessels or Nerves and requiring Open Operation.

121. Treatment of a complicated fracture of a part referred to in item 117 of this Schedule involving viscera, blood vessels or nerves and requiring an open operation—the amount specified in that item for the treatment of that fracture if the fracture had been simple and uncomplicated, had not required an open operation and had not involved a joint or joints, plus three-quarters of that amount or an amount of Eleven pounds five shillings, whichever is the less.

The Schedules—continued.

SECOND SCHEDULE.

Regulation 20.

Commonwealth Benefits for Additional Professional Services.

Item No.	Professional Service.	Commonwealth Benefit.
Part 1.—Pathological Services.
£	s.	d.
Division 1.—Blood.
201.	Pathological services in relation to blood, namely:—
	(1) Examination of blood film.................................................................	6	0
	(2) Red cell count...................................................................................	6	0
	(3) Red cell count and estimation of haemoglobin.....................................	7	6
	(4) White cell count................................................................................	6	0
	(5) White cell count and differential leucocyte count................................	7	6
	(6) Red cell count, white cell count, estimation of haemoglobin and examination of blood film.................................................................................	15	0
	(7) Platelet count....................................................................................	6	0
	(8) Reticulocyte count.............................................................................	6	0
	(9) Haemoglobin estimation....................................................................	6	0
	(10) Estimation of coagulation time...........................................................	6	0
	(11) Estimation of prothrombin time..........................................................	6	0
	(12) Estimation of bleeding time...............................................................	6	0
	(13) Blood sedimentation rate...................................................................	6	0
	(14) Determination of fragility of red blood cells........................................	6	0
	(15) Haematocrit estimations....................................................................	7	6
	(16) Estimation of mean diameter of red blood cells...................................	15	0
	(17) Blood grouping, namely:—
	(a) A.B.O...................................................................................	6	0
	(b) A.B.O. and compatibility test.................................................	7	6
	(c) Including A.B.O., M.N. and Rh. Factor...................................	15	0
	(18) Examination of serum for Anti-Rh agglutinins....................................	15	0
	(19) Coombs’ test.....................................................................................	7	6
	(20) Determination and titration of cold agglutinins in blood.......................	7	6
	(21) Examination of blood for malarial, filarial and other parasites..............	7	6
	(22) Paul-Bunnell reaction........................................................................	7	6
	(23) Paul-Bunnell reaction with white cell count and differential white cell count.....................................................................................................	15	0
	(24) Blood culture....................................................................................	15	0
	(25) Blood sugar estimation—initial or repeated.........................................	7	6
	(26) Glucose tolerance test........................................................................	15	0
	(27) Estimation of urea, chloride, creatinine, cholesterol, phosphatase and similar blood chemistry—
	(a) One item..............................................................................	15	0
	(b) Two items............................................................................	1	10	0
	(c) Three or more items..............................................................	2	5	0
	(28) Estimation of total protein (by gravimetric methods)...........................	6	0
	(29) Estimation of lead (quantitative analysis)............................................	15	0
	(30) Examination of specimen obtained by sternal puncture or biopsy.	15	0
	(31) Van den Bergh reaction—
	(a) Qualitative...........................................................................	7	6
	(b) Quantitative.........................................................................	15	0
	(32) Spectroscopic tests for blood and blood derivatives.............................	15	0
	(33) Estimation of alcohol in blood............................................................	15	0
	(34) Carbon dioxide combining power.......................................................	15	0

The Schedules—continued.

Second Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit
Part 1.—Pathological Services—continued.
£	s.	d.
Division 2.—Urine.
202.	Pathological services in relation to urine, namely:—
	(1) Microscopical and cultural examination for microorganisms.................	7	6
	(2) Microscopical examination of centrifugalized deposit...........................	6	0
	(3) Chemical estimation of sugar, albumin, urea, phosphates and similar urine chemistry—
	(a) One item...........................................................................	15	0
	(b) Two items.........................................................................	1	10	0
	(c) Three or more items...........................................................	2	5	0
	(4) Estimation of 17 keto-steroids.............................................................	15	0
	(5) Estimation of hippuric acid.................................................................	15	0
	(6) Estimation of lead (quantitative analysis).............................................	15	0
	(7) General examination for reaction, specific gravity, blood, albumin and sugar, with microscopical examination of centrifugalized deposit with or without qualitative tests for urobilin, acetone or indican...............................	7	6
	(8) Urea concentration test.......................................................................	15	0
	(9) Urea clearance test.............................................................................	15	0
	(10) Assay of ascorbic acid excretion.........................................................	15	0
Division 3.—Pus, Exudations and other Morbid Fluids.
203.	Pathological services in relation to pus, exudations, and other morbid fluids, namely:—
	(1) Microscopical examination of smear for cellular content and micro-organisms.....................................................................................................	6	0
	(2) Cultural examination for and identification of aerobic microorganisms..	7	6
	(3) Cultural examination for and identification of Cl. tetani and other anaerobes.....................................................................................................	15	0
	(4) Microscopical examination of vaginal and cervical discharge...............	6	0
	(5) Microscopical and cultural examination of vaginal discharge................	7	6
	(6) Serological typing of streptococci including Str. pneumoniae................	15	0
	(7) Serological grouping (Lancefield) of streptococci................................	15	0
	(8) Examination of vaginal discharge for T. vaginalis................................	6	0
	(9) Microscopical and cultural examination and animal inoculation in connexion with the pathological examination of pus, exudations and other morbid fluids.....................................................................................................	15	0
Division 4.—Serological Tests.
204.	Agglutination tests, including agglutination tests for enterie fever, and Brucella infection.....................................................................................................	7	6
205.	Complement fixation test for syphilis (qualitative or quantitative).......................	7	6
206.	Complement fixation test for gonorrhea.............................................................	7	6
207.	Complement fixation test for hydatid................................................................	7	6
208.	Flocculation tests for syphilis, including Kline, Kahn, Eagle and similar tests—each test..................................................................................................................	6	0

The Schedules—continued.

Second Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 1.—Pathological Services—continued.
£	s.	d.
Division 5.—Faeces.
209.	Pathological services in relation to faeces, namely:—
	(1) Cultural examination for S. typhi, dysentery bacilli and other intestinal pathogens—
	(a) Without full fermentation reaction, serological or other investigation for purpose of identification............................................	7	6
	(b) With full fermentation reaction, serological and other investigation for purpose of identification............................................	15	0
	(2) Chemical examination, including chemical examination for occult blood and urobilin.........................................................................................

11	5	0
475.	Frontal lobotomy for psychiatric causes.............................................................	11	5	0
470.	Laminectomy for cordotomy, removal of tumours or of intravertebral disc...........	11	5	0
477.	Intracranial neurectomy....................................................................................	11	5	0

The Schedules—continued.

Second Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Past 5.—Operations—continued.
£	s.	d.
Division 6.—Gynaecological.
478.	Hysterectomy and partial bilateral salpingectomy................................................	11	5	0
479.	Hysterectomy and dissection of pelvic glands......................................................	11	5	0
480.	Vaginal hysterectomy (with or without perineal repair)........................................	11	5	0
481.	Excision of pelvic lymph glands (pelvic lymphadenectomy).................................	11	5	0
482.	Vulvectomy—
	(1) Simple................................................................................................	7	10	0
	(2) Radical................................................................................................	11	5	0
483.	Presacral neurectomy.........................................................................................	9	7	6
484.	Repair of fistula between genital and urinary tracts..............................................	9	7	6
485.	Artificial vagina and operations for gynaetresia...................................................	11	5	0
486.	Cure of urethrocoele..........................................................................................	3	15	0
487.	Insertion of radium (gynaecological)...................................................................	2	5	0
488.	Salpingostomy or salpingolysis or salpingostomy and salpingolysis......................	4	10	0
489.	Injection of opaque media for hysterosalpingography..........................................	1	10	0
Division 7.—Obstetric Operations and Midwifery.
490.	Caesarean section and partial bilateral salpingectomy..........................................	11	5	0
491.	Caesarean section and hysterectomy...................................................................	11	5	0
492.	Caesarean section and myomectomy...................................................................	11	5	0
Division 8.—Orthopaedic.
493.	Osteosynthesis by Smith-Petersen Nail...............................................................	11	5	0
494.	Arthrodesis, namely:—
	(1) Finger or single small joint...................................................................	3	15	0
	(2) Two small joints..................................................................................	5	12	6
	(3) More than two small joints...................................................................	7	10	0
	(4) Single large joint (other than those specified in any other sub-item of this item	9	7	6
	(5) Two or more large joints......................................................................	11	5	0
	(6) Hip......................................................................................................	11	5	0
	(7) Spine...................................................................................................	11	5	0
	(8) Sacro-iliac...........................................................................................	11	5	0
495.	Osteotomy, namely:—
	(1) Phalanx, metacarpal or metatarsal.........................................................	3	15	0
	(2) Fibula, radius, ulnar, clavicle, rib, tarsus or carpus.................................	6	7	6
	(3) Tibia, humerus or femur.......................................................................	7	10	0
496.	Radical cure of talipes.......................................................................................	9	7	6
497.	Correction of hallux valgus—
	(1) One toe...............................................................................................	6	7	6
	(2) Two toes.............................................................................................	9	7	6
498.	Correction of hammer toes—
	(1) One toe...............................................................................................	3	15	0
	(2) Two or more........................................................................................	6	7	6
499.	Bone graft—
	(1) To spine..............................................................................................	9	7	6
	(2) Not covered by any other item or sub-item in this or the First Schedule...	7	10	0
500.	Tenotomy as applied to orthopaedic surgery........................................................	2	5	0
501.	Tendon transplantation (orthopaedic)..................................................................	6	7	6

The Schedules—continued.

Second Schedule.—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 5.—Operations—continued.
£	s.	d.
502.	Nerve surgery, namely:—
	(1) Primary suture—cutaneous nerve.........................................................	1	2	6
	(2) Anterior transposition of ulna nerve.....................................................	4	10	0
	(3) Removal of tumour from peripheral nerve............................................	3	15	0
	(4) Nerve graft.........................................................................................	11	5	0
	(5) Radical removal as in tic douloureux....................................................	11	5	0
	(6) Injection of ganglion with alcohol or similar substance for tic douloureux......................................................................................................	7	10	0
	(7) Sympathectomy—
	(a) Cervical...............................................................................	11	5	0
	(b) Lumbar................................................................................	11	5	0
	(c) Sacral...................................................................................	11	5	0
	(d) Injection of sympathetic trunk...............................................	2	5	0
503.	Excision of plantar wart....................................................................................	1	2	6
504.	Removal of calcanean spurs..............................................................................	4	10	0
505.	Operation for cure of—
	(1) Ingrowing toenail................................................................................	1	17	6
	(2) Ingrowing toenails..............................................................................	2	12	6
506.	Radical cure of Dupuytren’s contracture.............................................................	7	10	6
507.	Operation for Volkmann’s contracture...............................................................	4	10	0
508.	Tendon lengthening..........................................................................................	2	5	0
509.	Tendon splitting................................................................................................	3	15	0
510.	Operations on hip joint—
	(1) Excision.............................................................................................	11	5	0
	(2) Arthroplasty.......................................................................................	11	5	0
	(3) Arthrotomy........................................................................................	6	7	6
511.	Orthopaedic operations on knee joint, namely:—
	(1) Excision.............................................................................................	9	7	6
	(2) Arthroplasty.......................................................................................	9	7	6
	(3) Arthrotomy........................................................................................	4	10	0
	(4) Operations for internal derangement.....................................................	7	10	0
	(5) Reconstruction to cruciate ligaments....................................................	11	5	0
	(6) Reconstruction of capsular ligaments...................................................	7	10	0
	(7) Excision of patella..............................................................................	7	10	0
	(8) Open operation for repair of patella......................................................	6	7	6
	(9) Operation for recurrent dislocation of patella........................................	9	7	6
Division 9.—Paediatric.
512.	Manipulations and plaster work for correction of congenital abnormalities, namely:—
	(1) Congenital dislocation of the hip—
	(a) Manipulation........................................................................	15	0
	(b) Manipulation and plaster (one hip).........................................	1	17	6
	(c) Manipulation and plaster (both hips)......................................	2	5	0
	(2) Talipes equiuo-varus—
	(a) Manipulation........................................................................	15	0
	(b) Manipulation and plaster.......................................................	1	2	6
	(3) Calcaneus valgus—
	(a) Manipulation........................................................................	15	0
	(b) Manipulation and plaster.......................................................	1	2	6
	(4) Pes planus—
	(a) Manipulation........................................................................	15	0
	(b) Manipulation and plaster.......................................................	1	2	6

The Schedules—continued.

Second Schedule.—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 5.—Operations—continued.
£	s.	d.
(5) Genu varum—
(a) Manipulation.........................................................................	15	0
(b) Manipulation and plaster........................................................	1	10	0
(6) Genu valgum—
(a) Manipulation.........................................................................	15	0
(b) Manipulation and plaster........................................................	1	10	0
(7) Contractures not covered by any other item or sub-item in this Schedule—
(a) Manipulation.........................................................................	15	0
(b) Manipulation and plaster........................................................	1	2	6
(8) Spastic paralysis—
(a) Manipulation.........................................................................	15	0
(b) Plaster (one limb)...................................................................	1	10	0
(c) Plaster (two or more limbs).....................................................	2	5	0
(9) Birth palsies—
(a) Facial manipulation................................................................	15	0
(b) Erb’s—
(i) Manipulation.............................................................	15	0
(ii) Manipulation and plaster............................................	1	2	6
(c) Klumpke’s and similar congenital abnormalities—
(i) Manipulation.............................................................	15	0
(ii) Manipulation and plaster............................................	1	2	6
513.	Operations for correction of congenital abnormalities, namely:—
	(1) Imperforate anus—
	(a) Abdomino-perineal correction................................................	11	5	0
	(b) Operation other than abdomino-perineal correction..................	5	12	6
	(2) Intestinal atresia and stenosis—excision and anastomosis (or either of these procedures).....................................................................................	11	5	0
	(3) Malrotation of gut—
	(a) Duodenal obstruction (anastomosis or resection)......................	11	5	0
	(b) Reduction of volvulus of the small intestine.............................	7	10	0
	(4) Hirschsprung’s disease—
	(a) Colostomy.............................................................................	5	12	6
	(b) Rectosigmoidectomy..............................................................	11	5	0
	(5) Exomphalos.........................................................................................	9	7	6
	(6) Abnormalities of the oesophagus—
	(a) Short or hiatus hernia.............................................................	11	5	0
	(b) Stenosed (radical correction)...................................................	11	5	0
	(c) Tracheo-oesophageal fistula....................................................	11	5	0
	(7) Contracted bladder neck—
	(a) Wedge excision of bladder neck..............................................	7	10	0
	(b) Per-urethral resection of bladder neck......................................	7	10	0
	(c) Lumbar sympathectomy.........................................................	11	5	0
	(8) Contracted lower end of ureters—
	(a) Cystotomy and dilatation........................................................	4	10	0
	(b) Lumbar sympathectomy.........................................................	11	5	0
	(9) Urachal fistula.....................................................................................	6	7	6
	(10) Ectopic bladder—
	(a) “Turning-in” operation...........................................................	7	10	0
	(b) Transplantation of ureters.......................................................	11	5	0

The Schedules—continued.

Second Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 5.—Operations—continued.
£	s.	d.
(11) Pinhole urinary meatus—
(a) Dilatation..............................................................................	15	0
(b) Meatotomy............................................................................	1	2	6
(12) Urethral valves....................................................................................	7	10	0
(13) Incontinence of urine—
(a) Plastic operation to sphincter..................................................	7	10	0
(b) Transplantation of ureters.......................................................	11	5	0
(14) Myelomeningocoele—excision of sac...................................................	9	7	6
(15) Hydrocephalus—
(a) Suboccipital decompression....................................................	11	5	0
(b) 3rd ventriculostomy...............................................................	11	5	0
(c) Torkildsen’s operation............................................................	11	5	0
(d) Spino-ureteral anastomosis.....................................................	11	5	0
(16) Craniostenosis.....................................................................................	11	5	0
(17) Arachnoideal cysts...............................................................................	11	5	0
(18) Subdural haemorrhage—
(a) Tap........................................................................................	1	2	6
(b) Flap and excision...................................................................	11	5	0
(19) Amputation for—
(a) Abnormal limbs.....................................................................	5	12	6
(b) Extra digits............................................................................	1	17	6
(20) Cardiac—
(a) Tetralogy of Fallot.................................................................	11	5	0
(b) Patent ductus arteriosus..........................................................	11	5	0
(c) Cardiac operation not covered by any other item or sub-item of this Schedule or the First Schedule to these Regulations..............	11	5	0
514.	Operations for excision of congenital abnormalities, namely:—
	(1) Dermoid of the eve—
	(a) Extraocular............................................................................	2	5	0
	(b) Intraocular.............................................................................	9	7	6
	(2) Dermoid of the nose—
	(a) Extranasal.............................................................................	2	5	0
	(b) Intranasal..............................................................................	7	10	0
	(3) Sacrococcygeal dermoids and teratomata other than pilonidal sinuses......	7	10	0
515.	Plastic operations for congenital abnormalities, namely:—
	(1) Hare-lip—
	(a) Unilateral..............................................................................	3	15	0
	(b) Bilateral.................................................................................	5	12	6
	(2) Cleft palate—
	(a) Partial....................................................................................	7	10	0
	(b) Complete...............................................................................	11	5	0
	(3) Cleft palate and hare-lip.......................................................................	11	5	0
	(4) Hypospadias or epispadias—
	(a) Preliminary plastic.................................................................	4	10	0
	(b) Urethral reconstruction...........................................................	9	7	6
	(5) Syndactyly—each stage........................................................................	4	10	0
	(6) Lymphangiectasis of a limb (Milroy’s disease)—
	(a) Each injection........................................................................	7	6
	(b) Excision................................................................................	7	10	0

The Schedules—continued.

Second Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 5.—Operations—continued.
£	s.	d.
(7) Macrocheilia........................................................................................	9	7	6
(8) Macroglossia.......................................................................................	9	7	6
(9) Macrostomia........................................................................................	9	7	6
(10) Angiomata—
(a) Each injection........................................................................	7	6
(b) Cautery..................................................................................	15	0
(c) Excision, namely—
(i) Simple.......................................................................	2	5	0
(ii) Complicated or large (localized).................................	4	10	0
(iii) Complicated or large (diffused)..................................	7	10	0
(11) Torticollis............................................................................................	5	12	6
(12) Bat ears................................................................................................	9	7	6
(13) Reconstruction of ears, nose and other parts to the face, not covered by any other item or sub-item of this Schedule or the First Schedule to these Regulations.....................................................................................	11	5	0
516.	Operations for acquired conditions, namely:—
	(1) Portal hypertension—
	(a) Laparotomy...........................................................................	4	10	0
	(b) Lieno-renal anastomosis.........................................................	11	5	0
	(c) Eck’s fistula...........................................................................	11	5	0
	(2) Prolapsed rectum—
	(a) Injection................................................................................

15	0
(b) Resection—plastic operation...................................................	5	12	6
(3) Megacolon—colectomy........................................................................	11	5	0
(4) Manipulations and plaster work for correction of epiphysitis—
(a) Perthes’ (Calve’s)—
(i) Manipulation.............................................................	15	0
(ii) Plaster and Manipulation............................................	1	17	6
(b) Sever’s—
(i) Manipulation.............................................................	15	0
(ii) Manipulation and plaster............................................	1	2	6
(c) Kohler’s—
(i) Manipulation.............................................................	15	0
(ii) Manipulation and plaster............................................	1	2	6
(d) Kienboch’s—
(i) Manipulation.............................................................	15	0
(ii) Manipulation and plaster............................................	1	2	6
(e) Schlatter’s—
(i) Manipulation.............................................................	15	0
(ii) Manipulation and plaster............................................	1	2	6
(f) Scheuermann’s—
(i) Manipulation.............................................................	1	2	6
(ii) Manipulation and plaster............................................	2	12	6
Division 10.—General Surgical.
517.	Gastrectomy, partial or complete.........................................................................	11	5	0
518.	Partial gastrectomy and gastro-jejunostomy.........................................................	11	5	0
519.	Operation for perforated duodenal ulcer...............................................................	9	7	6
520.	Caecostomy.......................................................................................................	5	12	6
521.	Anastomosis of bowel........................................................................................	11	5	0

The Schedules—continued.

Second Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 5.—Operations—continued.
£	s.	d.
522.	Removal of Meckel’s diverticulum.....................................................................	9	7	6
523.	Choledochotomy (with or without cholecystectomy)............................................	11	5	0
524.	Reconstruction of bile duct including choledochoduodenostomy, cholecystoduodenostomy, choledochoenterostomy, choledochogastrostomy, cholecystogastrostomy or cholecystenterostomy	11	5	0
525.	Resection of bowel or viscera for neoplasm or chronic inflammation.....................	11	5	0
526.	Repair or removal of ruptured viscus (including liver, spleen, bowel)....................	11	5	0
527.	Operation for hydatid of liver, peritoneum or viscus.............................................	11	5	0
528.	Abdomino-perineal resection..............................................................................	11	5	0
529.	Gastro-enterostomy............................................................................................	11	5	0
530.	Entero-enterostomy............................................................................................	11	5	0
531.	Entero-colostomy...............................................................................................	11	5	0
532.	Amputation of breast (radical)............................................................................	11	5	0
533.	Excision of tuberculous or neoplastic glands of neck—
	(a) Limited..................................................................................	7	10	0
	(b) Radical..................................................................................	11	5	0
534.	Thyroidectomy..................................................................................................	11	5	0
535.	Excision of localized thyroid tumour...................................................................	6	7	6
536.	Removal of parathyroid tumour..........................................................................	11	5	0
537.	Radical operation for prolapse of rectum in an adult.............................................	7	10	0
538.	Sigmoidoscopic examination (sigmoidoscopy).....................................................	1	2	6
539.	Operation for acute osteomyelitis, namely:—
	(1) Of spine, pelvic bones or skull (one bone).............................................	5	12	6
	(2) Of any combination of bones specified in sub-item (1) of this item and sub-items (1), (2) or (3) of item 55 of the First Schedule....................................	7	10	0
540.	Operation (with or without sequestrectomy) for chronic osteomyelitis—
	(1) Of phalanx, tibia, metacarpal, metatarsal, fibula, radius, ulna, carpus, clavicle, rib, or tarsus (one bone)...................................................................	5	12	6
	(2) Of humerus or femur (one bone)...........................................................	7	10	0
	(3) Of spine, pelvic bones or skull (one bone).............................................	11	5	0
	(4) Of any combination of bones specified in sub-item (1) of this item..........	7	10	0
	(5) Of any combination of bones not covered by sub-item (4) of this item.....	11	5	0
541.	Operation for cure of hypertrophic pyloric stenosis (Ramstedt’s operation)............	6	7	6
542.	Vagotomy.........................................................................................................	6	7	6
543.	Gastroscopy.......................................................................................................	3	15	0
544.	Removal of tumours of liver...............................................................................	11	5	0
545.	Drainage of liver abscess, namely:—
	(a) Abdominal............................................................................	4	10	0
	(b) Trans-pleural.........................................................................	6	7	6
546.	Portal vein anastomosis for portal obstruction......................................................	11	5	0
547.	Partial excision of pancreas................................................................................	11	5	0
548.	Drainage of pancreas..........................................................................................	5	12	6
549.	Repair of diaphragmatic hernia...........................................................................	11	5	0
550.	Drainage of subphrenic abscess..........................................................................	5	12	6
551.	Removal of branchial cyst or branchial fistula......................................................	6	7	6

The Schedules—continued.

Second Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 5.—Operations—continued.
£	s.	d.
552.	Removal of cystic hygroma................................................................................	6	7	6
553.	Removal of rannula............................................................................................	3	15	0
554.	Removal of dentigerous cyst...............................................................................	6	7	6
555.	Excision of innocent bone tumour.......................................................................	6	7	6
556.	Resection of upper jaw, lower jaw or both jaws...................................................	11	5	0
557.	Excision of tongue.............................................................................................	11	5	0
558.	Total extirpation of submaxillary or parotid glands...............................................	11	5	0
559.	Incision of submaxillary or parotid glands...........................................................	2	5	0
560.	Removal of calculus of submaxillary or parotid glands.........................................	4	10	0
561.	Excision of coccyx.............................................................................................	4	10	0
562.	Excision of pilonidal cyst or sinus.......................................................................	4	10	0
563.	Excision of diverticulum of pharynx or larynx.....................................................	9	7	6
564.	Removal of thyroglossal cyst..............................................................................	6	7	6
565.	Removal of thyroglossal fistula...........................................................................	6	7	6
566.	Repair of cut throat—
	(a) Involving skin and muscle...................................................................	1	17	6
	(b) Involving vessels or nerves, or both......................................................	3	15	0
	(c) Involving vessels and nerves and oesophagus or trachea........................	7	10	0
567.	Removal of malignant tumour of neck.................................................................	11	5	0
568.	Scalenotomy......................................................................................................	4	10	0
569.	Removal of cervical rib......................................................................................	9	7	6
570.	Thymectomy.....................................................................................................	9	7	6
571.	Removal of retroperitoneal tumour......................................................................	11	5	0
572.	Drainage of retroperitoneal abscess.....................................................................	5	12	6
573.	Peritoneoscopy..................................................................................................	2	5	0
574.	Operation for malignant tumours requiring wide excision and dissection of glands or involving muscle, bone or viscera not covered by any other item or sub-item of this Schedule or the First Schedule to these Regulations.........................................	11	5	0
Division 11.—Plastic and Reconstructive.
575.	Free graft, namely:—
	(1) Pinch grafts.........................................................................................	2	5	0
	(2) Split grafts—
	(a) Limited...................................................................................	2	5	0
	(b) Extensive................................................................................	4	10	0
	(3) Full thickness grafts.............................................................................	3	0	0
576.	Tubed pedicle repair—each stage........................................................................	2	12	6
577.	Open abdominal flap—each stage.......................................................................	2	12	6
578.	Cross leg flap—each stage..................................................................................	2	12	6
579.	Plastic restoration of eye socket..........................................................................	7	10	0
580.	Total reconstruction of eye socket—each stage....................................................	2	12	6
581.	Restoration of eyebrows.....................................................................................	4	10	0
582.	Grafting for symblepharon..................................................................................	7	10	0
583.	Restoration of eye lids—each stage.....................................................................	2	12	6
584.	Correction of ptosis............................................................................................	7	10	0
585.	Correction of humped or long nose.....................................................................	7	10	0
586.	Correction of deflected or twisted nose................................................................	7	10	0
587.	Reconstruction of syphilitic nose—each stage......................................................	2	12	6
588.	Local nasal reconstruction not covered by any other item or sub-item of this Schedule or the First Schedule to these Regulations...........................................................	7	10	0
589.	Forehead flap or pedicle reconstruction of nose—per stage...................................	2	12	6

The Schedules—continued.

Second Schedule—continued.

Item No.	Professional Service.	Commonwealth Benefit.
Part 5.—Operations—continued.
£	s.	d.
590.	Rhinophyma......................................................................................................	7	10	0
591.	Ear reconstruction total or partial—per stage.......................................................	2	12	6
592.	Total lip and. mouth reconstruction—each stage..................................................	2	12	6
593.	Facial slings for facial paralysis..........................................................................	7	10	0
594.	Cosmetic meloplasty (face lifting).......................................................................	7	10	0
595.	Excision and repair of moles and melanomata not covered by any other item or sub-item of this Schedule.............................................................................................	3	15	0
596.	Excision and repair of carcinomata not covered by any other item of this Schedule or the First Schedule to these Regulations.................................................................	3	15	0
597.	Correction of prognathism..................................................................................	11	5	0
598.	Plastic reconstruction operations (net covered by any other item or sub-item of this Schedule or the First Schedule to these Regulations) for—
	(1) Fracture of mandible............................................................................	7	10	0
	(2) Fracture of maxilla...............................................................................	7	10	0
	(3) Fracture of malar—maxillary compound...............................................	7	10	0
	(4) Fracture of nose...................................................................................	7	10	0
	(5) Repair of flexor tendons.......................................................................	4	10	0
	(6) Repair of extensor tendons....................................................................	3	15	0
599.	Repair of neck contractures—each stage..............................................................	2	12	6
600.	Correction of cicatricial flexion contractures of joints...........................................	4	10	0
601.	Breast reduction.................................................................................................	4	10	0
602.	Major grafting of hands—each stage...................................................................	2	12	6
603.	Penile reconstruction—each stage.......................................................................	2	12	6
604.	Vaginal reconstruction in congenital absence.......................................................	11	5	0

 

By Authority: L. F. Johnston, Commonwealth Government Printer, Canberra.