delete Functions of Primary Care Trusts and Strategic Health Authorities exercisable by the Authority
These 2006 Regulations transfer functions relating to primary dental services from Primary Care Trusts (PCTs) and Strategic Health Authorities to the NHS Business Services Authority. They establish that the Authority exercises specified functions in column 1 of the Schedule, with ancillary functions in column 3. The Regulations also address how acts/omissions are attributed, contractor obligations regarding records, and payment functions that PCTs may only exercise if the Authority is unable to do so.
These Regulations centralize administrative functions within the NHS Business Services Authority, creating an additional bureaucratic layer that removes decision-making from local Primary Care Trusts. They reinforce the NHS monopoly structure by consolidating control rather than enabling competition or local flexibility. The administrative complexity generates compliance costs with no corresponding improvement in patient outcomes, and the provision that contractor obligations remain with the PCT while functions are exercised by the Authority creates confusing fragmentation of responsibility. As part of the broader NHS apparatus that suppresses private dental alternatives, these Regulations should be deleted to allow for more responsive, competitive primary dental services.