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Statutory Instruments

2010 No. 659

Public Health, England

The Health Protection (Notification) Regulations 2010

Made

9th March 2010

Laid before Parliament

11th March 2010

Coming into force

for the purpose of all regulations except regulation 4

6th April 2010

for the purpose of regulation 4

1st October 2010

M1The Secretary of State makes the following Regulations in exercise of the powers conferred by sections 13, 45C(1), (2) and (3)(a), 45F(2)(a) and (b), 45P(2) and 60A of the Public Health (Control of Disease) Act 1984 .

In accordance with section 45Q(3) of the Public Health (Control of Disease) Act 1984, the Secretary of State declares that he is of the opinion that these Regulations do not contain any provision made by virtue of section 45C(3)(c) of that Act which imposes or enables the imposition of a special restriction or requirement or any other restriction or requirement which has or would have a significant effect on a person's rights.

Citation, commencement and application

1.—(1) These Regulations may be cited as the Health Protection (Notification) Regulations 2010 and shall come into force—

(a)for the purposes of all regulations except regulation 4 on 6th April 2010; and

(b)for the purposes of regulation 4 on 1st October 2010.

(2) These Regulations apply in relation to England only.

[F1(3)In these Regulations, “[F2the United Kingdom Health Security AgencyF2]” means the executive agency of the Department of Health [F3and Social CareF3] known as [F2the United Kingdom Health Security AgencyF2].F1]

Duty to notify suspected disease, infection or contamination in patients

M22.—(1) A registered medical practitioner (R) must notify the proper officer of the relevant local authority where R has reasonable grounds for suspecting that a patient (P) whom R is attending—

(a)has a notifiable disease;

(b)M3has an infection which, in the view of R, presents or could present significant harm to human health; or

(c)M4is contaminated in a manner which, in the view of R, presents or could present significant harm to human health.

(2) The notification must include the following information insofar as it is known to R—

(a)P's name, date of birth and sex;

(b)P's home address including postcode;

(c)P's current residence (if not home address);

(d)P's telephone number;

(e)P's NHS number;

(f)P's occupation (if R considers it relevant);

(g)the name, address and postcode of P's place of work or education (if R considers it relevant);

(h)P's relevant overseas travel history;

(i)P's ethnicity;

(j)contact details for a parent of P (where P is a child);

(k)the disease or infection which P has or is suspected of having or the nature of P's contamination or suspected contamination;

(l)the date of onset of P's symptoms;

(m)the date of R's diagnosis; and

(n)R's name, address and telephone number.

(3) The notification must be provided in writing within 3 days beginning with the day on which R forms a suspicion under paragraph (1).

(4) Without prejudice to paragraph (3), if R considers that the case is urgent, notification must be provided orally as soon as reasonably practicable.

(5) In determining whether the case is urgent, R must have regard to —

(a)the nature of the suspected disease, infection or contamination;

(b)the ease of spread of that disease, infection or contamination;

(c)the ways in which the spread of the disease, infection or contamination can be prevented or controlled; and

(d)P's circumstances (including age, sex and occupation).

(6) This regulation does not apply where R reasonably believes that the proper officer of the relevant local authority has already been notified with regard to P and the suspected disease, infection or contamination by another registered medical practitioner in accordance with this regulation.

(7) In this regulation—

“child” means a person under the age of 18 years;

“notifiable disease” means a disease listed in Schedule 1;

M5“parent” has the meaning given to it by section 576 of the Education Act 1996 ; and

“relevant local authority” means the local authority within whose area R attended P on the occasion of forming a suspicion under paragraph (1).

Duty to notify suspected disease, infection or contamination in dead persons

3.—(1) A registered medical practitioner (R) must notify the proper officer of the relevant local authority where R has reasonable grounds for suspecting that a person (P) whom R is attending has died whilst—

(a)infected with a notifiable disease;

(b)infected with a disease which, in the view of R, presents or could present, or presented or could have presented (whilst P was alive), significant harm to human health; or

(c)contaminated in a manner which, in the view of R, presents or could present, or presented or could have presented (whilst P was alive), significant harm to human health.

(2) The notification must include the following information insofar as it is known to R—

(a)P's name, date of birth and sex;

(b)P's date of death;

(c)P's home address including postcode;

(d)P's place of residence at time of death (if different from home address);

(e)P's NHS number;

(f)P's occupation at time of death (if R considers it relevant);

(g)the name, address and postcode of P's place of work or education at the time of death (if R considers it relevant);

(h)P's relevant overseas travel history;

(i)P's ethnicity;

(j)the disease or infection which P had or is suspected of having had or the nature of P's contamination or suspected contamination;

(k)the date of onset of P's symptoms;

(l)the date of R's diagnosis; and

(m)R's name, address and telephone number.

(3) The notification must be provided in writing within 3 days beginning with the day on which R forms a suspicion under paragraph (1).

(4) Without prejudice to paragraph (3), if R considers that the case is urgent, notification must be provided orally as soon as reasonably practicable.

(5) In determining whether the case is urgent, R must have regard to—

(a)the nature of the suspected disease, infection or contamination;

(b)the ease of spread of that disease, infection or contamination;

(c)the ways in which the spread of the disease, infection or contamination can be prevented or controlled; and

(d)P's circumstances (including age, sex and occupation).

(6) This regulation does not apply where R reasonably believes that the proper officer of the relevant local authority has already been notified with regard to P and the suspected disease, infection or contamination by another registered medical practitioner in accordance with this regulation or regulation 2(1).

(7) In this regulation—

[F4Duty on the operators of diagnostic laboratories to notify [F5the United Kingdom Health Security AgencyF5] of causative agents found in human samples and of SARS-Cov-2 [F6, respiratory syncytial virusF6] or influenza virus tests processedF4]

4.—(1) The operator of a diagnostic laboratory must notify [F7the United Kingdom Health Security AgencyF7] in accordance with this regulation where the diagnostic laboratory[F8—F8]

[F9(a)F9]identifies a causative agent in a human sample [F10; or

(b)processes a test for the detection of SARS-CoV-2 F11... and the test result is indeterminate.F10]

F12(1ZA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[F13(1A)The operator of a diagnostic laboratory must also notify [F14the United Kingdom Health Security AgencyF14] in accordance with this regulation where the diagnostic laboratory—

(a)processes a test for the detection of [F15respiratory syncytial virus orF15] SARS-CoV-2 and the test result is negative or void; or

(b)processes a test for the detection of influenza virus and the test result is indeterminate, negative or void.F13]

(2) The notification must include the following information insofar as it is known to the operator of the diagnostic laboratory—

(a)name and address of the diagnostic laboratory;

[F16(aa)the date and time the sample was received by the diagnostic laboratory;F16]

[F17(b)where a causative agent is identified, the details of that agent;

(ba)where the test is for the detection of SARS-CoV-2 [F18, respiratory syncytial virusF18] or influenza virus, the result of the test;F17]

(c)date of the sample;

(d)nature of the sample;

[F19(da)the results of any antimicrobial susceptibility test and any resistance mechanism identified in respect of the sample;F19]

(e)name of person (P) from whom the sample was taken;

(f)P's date of birth and sex;

(g)P's current home address including postcode;

(h)P's current residence (if not home address);

(i)P's ethnicity;

(j)F20P's NHS number; ...

(k)the name, address and organisation of the person who solicited the test [F21; and

(l)where the result of a test for the detection of SARS-CoV-2 is positive [F22or indeterminateF22], a telephone number and an email address—

(i)where P is a child or a person with a disability who is unable for that reason to provide the information set out in sub-paragraphs (e) to (j), for an appropriate parent, guardian or carer of that person ;

(ii)otherwise, for P.F21]

(3)[F23A notification under paragraph (1)(a) where the causative agent identified is not SARS-CoV-2F23] must be provided in writing within 7 days beginning with the day on which the causative agent is identified.

[F24(3A)[F25A notificationF25] under paragraph (1A) must be provided in writing within 7 days beginning with the day on which the diagnostic laboratory becomes aware of the test result.

(3B)A notification under paragraph (1)(a) where the causative agent identified is SARS-CoV-2, must F26... be provided in writing within 24 hours of the causative agent being identified.

(3C)[F27A notificationF27] under paragraph (1)(b) must be provided in writing within 24 hours of the diagnostic laboratory becoming aware of the test result.F24]

F28(3D) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(4) Without prejudice to [F29paragraphs (3) and (3A)F29] , if the operator of the diagnostic laboratory considers that [F30a particular case to which one of those paragraphs appliesF30] is urgent, the notification must be provided orally as soon as reasonably practicable.

(5) In determining whether the case is urgent, the operator of the diagnostic laboratory must have regard to —

(a)the nature of the causative agent;

(b)the nature of the disease which the causative agent causes;

(c)the ease of spread of the causative agent;

(d)the ways in which the spread of the causative agent can be prevented or controlled; and

(e)where known, P's circumstances (including age, sex and occupation).

(6) This regulation does not apply where the operator of the diagnostic laboratory reasonably believes that [F31the United Kingdom Health Security AgencyF31] has already been notified in accordance with this regulation by the operator of another diagnostic laboratory in relation to the same causative agent being found in a sample from the same person.

(7) For the purposes of [F32paragraph (1)(a)F32] , a diagnostic laboratory identifies a causative agent where—

(a)the diagnostic laboratory identifies the causative agent; or

(b)the causative agent is identified by another laboratory under an arrangement made with that diagnostic laboratory.

[F33(7A)For the purposes of paragraphs (1)(b) and (1A), a diagnostic laboratory processes a test where—

(a)the diagnostic laboratory processes the test; or

(b)the test is processed by another laboratory under an arrangement made with that diagnostic laboratory.F33]

(8) Where paragraph (7)(b) applies [F34—F34]

[F35(a)F35]the day on which the causative agent is identified for the purposes of paragraph (3), is the day on which the diagnostic laboratory became aware of the identification by the other laboratory;

[F36(b)the time at which the causative agent is identified for the purposes of paragraph (3B), is the time at which the diagnostic laboratory became aware of the identification by the other laboratory.F36]

[F37(8A)Where paragraph (7A)(b) applies—

(a)the day on which the diagnostic laboratory becomes aware of the test result for the purposes of paragraph (3A), is the day on which the diagnostic laboratory became aware of the result of the test processed by that other laboratory;

(b)the time at which the diagnostic laboratory becomes aware of the test result for the purposes of paragraph (3C), is the time at which the diagnostic laboratory became aware of the result of the test processed by that other laboratory.F37]

(9) It is an offence for the operator of a diagnostic laboratory to fail without reasonable excuse to comply with this regulation.

(10) Any person who commits an offence under this regulation is liable on summary conviction to a fine not exceeding level 5 on the standard scale.

(11) In this regulation—

[F38“carer” has the meaning given in section 10 of the Care Act 2014;F38]

“causative agent” means—

(a)

a causative agent listed in Schedule 2, or

(b)

evidence of an infection caused by such an agent;

[F39“child” has the meaning given in regulation 2(7);F39]

“diagnostic laboratory” means an institution (or facility within an institution) which is equipped with apparatus and reagents for the performance of diagnostic tests for human infections;

“director of a diagnostic laboratory” means—

(a)

the clinical microbiologist, consultant pathologist or other registered medical practitioner or other person in charge of a diagnostic laboratory, or

(b)

F40any other person working in the diagnostic laboratory to whom the function of making a notification under this regulation has been delegated by the person mentioned in paragraph (a); ...

[F41“disability” has the same meaning as in the Equality Act 2010 (see section 6 of, and Schedule 1 to, that Act);

“guardian” has the meaning given in section 107 of the Children and Young Persons Act 1933;F41]

“operator of a diagnostic laboratory” means the corporate body that operates the diagnostic laboratory or, if there is no such body, the director of the diagnostic laboratory;

[F42“parent” has the meaning given in regulation 2(7).F42]

Duty to notify the United Kingdom Health Security Agency of the results of mandatory tests under the Health Protection (Coronavirus, International Travel and Operator Liability) (England) Regulations 2021

F434ZA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Duty to notify the UK Health Security Agency of the results of genomic sequencing of mandatory test samples under the Health Protection (Coronavirus, International Travel and Operator Liability) (England) Regulations 2021

F444ZB. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[F45Duty on test providers to notify results of tests for the detection of SARS-CoV-2 or Influenza virus to [F46the United Kingdom Health Security AgencyF46]

4A.—(1)This regulation applies where a test provider carries out on a person (“P”) a valid point of care test for the detection of SARS-CoV-2 F47... or influenza virus.

(2)For the purposes of this regulation—

(a)a point of care test is a diagnostic test which is not carried out in a diagnostic laboratory; and

(b)a point of care test is valid if it is carried out in accordance with the instructions provided by the manufacturer of the testing equipment.

(3)The test provider must notify [F48the United Kingdom Health Security AgencyF48] of the result of the test, in accordance with paragraphs (4) to (6).

(4)A notification must be provided in writing—

(a)within 24 hours of the time when the test result is received by the test provider, in the case of the result of a test for the detection of SARS-CoV-2 being positive or indeterminate;

(b)within 7 days beginning with the day on which the test result is received by the test provider, in the case of—

(i)the result of a test for the detection of SARS-CoV-2 being negative or void; or

(ii)the result of a test for the detection of influenza virus.

(5)A notification must include the following information, insofar as it is known to the test provider—

(a)in relation to P, their—

(i)first name;

(ii)surname;

(iii)sex;

(iv)date of birth;

(v)NHS number (if known);

(vi)ethnicity;

(vii)current address (including postcode);

(viii)telephone number, where the test is for the detection of SARS-CoV-2 and the result is positive or indeterminate,

(ix)email address, where the test is for the detection of SARS-CoV-2 and the result is positive or indeterminate;

(b)in relation to the test, the—

(i)name of the test provider;

(ii)nature of establishment;

(iii)specimen identification number (if applicable);

(iv)specimen type;

(v)specimen date;

(vi)test method;

(vii)result of test;

(viii)date on which the test was carried out;

(ix)name of the testing equipment manufacturer.

[F49(6)F49]Where P is a child, or a person with a disability who is unable for that reason to provide the information set out in paragraph (5)(a) to the test provider, the test provider must provide [F50the United Kingdom Health Security AgencyF50] with, insofar as it is known to the test provider—

(a)the information set out in paragraph [F51(5)F51](a)(i) to (vii) in relation to P, having obtained it from an appropriate parent, guardian or carer of P (“X”); and

(b)where the test is for the detection of SARS-CoV-2 and the result is positive or indeterminate, X’s telephone number and email address.

[F52(7)F52]It is an offence for a test provider to fail without reasonable excuse to comply with this regulation.

[F53(8)F53]A test provider that commits an offence under this regulation is liable on summary conviction to a fine.

[F54(9)F54]In this regulation—

“carer”, “child”, “disability”, “guardian”, and “parent” have the meanings given in regulation 4;

“test provider” means a company, partnership, charity, corporation, unincorporated association, or other organisation or body, whether public or private, or sole trader, carrying out point of care tests for the detection of SARS-CoV-2 or influenza virus.F45]

Duty to notify the United Kingdom Health Security Agency of the results of lateral flow device tests undertaken by eligible travellers

F554B. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Duty to provide information to [F56the United Kingdom Health Security AgencyF56]

5.—(1) This regulation applies where a notification has been made by the operator of a diagnostic laboratory to [F57the United Kingdom Health Security AgencyF57] under regulation 4.

(2)[F58The United Kingdom Health Security AgencyF58] may request that the person (R) who solicited the laboratory test which identified the causative agent to which the notification relates, provide to it the information listed at regulation 4(2) insofar as that information was not included in the notification.

(3) R must provide the information requested under paragraph (2) insofar as it is known to R.

(4) The information must be provided in writing within 3 days beginning with the day on which the request is made.

(5) Without prejudice to paragraph (4), if [F59the United Kingdom Health Security AgencyF59] considers the case to be urgent and informs R of this fact when making the request, the information must be provided orally as soon as reasonably practicable.

(6) In determining whether the case is urgent, [F60the United Kingdom Health Security AgencyF60] must have regard to—

(a)the nature of the causative agent to which the notification relates;

(b)the nature of the disease which the causative agent causes;

(c)the ease of spread of the causative agent;

(d)the ways in which the spread of the causative agent can be prevented or controlled; and

(e)where known, the circumstances of the person from whom the sample was taken (including age, sex and occupation).

Duty on the relevant local authority to disclose notification to others

6.—(1) This regulation applies where the proper officer of a local authority has received a notification under regulation 2 or 3.

(2) The proper officer of the local authority must disclose the fact of the notification and its contents to—

[F61(a)[F62the United Kingdom Health Security AgencyF62];F61]

(b)the proper officer of the local authority in whose area P usually resides (if different); and

(c)the proper officer of the port health authority or local authority in whose district or area a ship, hovercraft, aircraft or international train is or was situated from which P has disembarked (if known to the disclosing proper officer and if that officer considers disclosure appropriate).

(3) The disclosure must be made in writing within 3 days beginning with the day that the proper officer receives the notification.

(4) Without prejudice to paragraph (3), if the disclosing proper officer considers that the case is urgent, disclosure must be made orally as soon as reasonably practicable.

(5) In determining whether a case is urgent, the disclosing proper officer must have regard to—

(a)the nature of the disease, infection or contamination or the suspected disease, infection or contamination notified;

(b)the ease of spread of the disease, infection or contamination;

(c)the ways in which the spread of the disease, infection or contamination can be prevented or controlled; and

(d)where known, the patient's circumstances (including age, sex and occupation).

Electronic communications

7.—(1) This regulation applies to—

(a)notifications provided under regulation 2(1), 3(1) [F63, 4(1) [F64and (1A)F64]F65... F65[F66... and 4A(3)F66,F63]] ;

(b)information provided under regulation 5(3);

(c)disclosures made under regulation 6(2);

(d)M6lists provided under regulation 3 of the Health Protection (Local Authority Powers) Regulations 2010 (requirement to provide details of children attending school); and

(e)M7reports provided under regulations 10(1) (duty to report Part 2A applications) and 11(1) (duty to report variations or revocations of Part 2A orders) of the Health Protection (Part 2A Orders) Regulations 2010 .

(2) Notifications, information, disclosures, lists and reports, which are required to be in writing, may be communicated electronically if—

(a)the recipient has consented in writing to receiving the notification, information, disclosure list or report (as the case may be) by an electronic communication; and

(b)the communication is sent to the number or address specified by the recipient when giving that consent.

Revocations

8. The regulations listed in Schedule 3 are revoked.

Signed by authority of the Secretary of State for Health.

Gillian Merron

Minister of State,

Department of Health

Regulation 2(7)

SCHEDULE 1Notifiable Diseases

Acute encephalitis
[F67Acute flaccid paralysis or acute flaccid myelitis (AFP or AFM)F67]
Acute meningitis
Acute poliomyelitis
Acute infectious hepatitis
Anthrax
Botulism
Brucellosis
[F67Chickenpox (varicella)F67]
Cholera
[F67Congenital syphilisF67]
[F68COVID-19F68]
[F67Creutzfeldt-Jakob disease (CJD)F67]
Diphtheria
[F67Disseminated gonococcal infection (DGI)F67]
Enteric fever (typhoid or paratyphoid fever)
Food poisoning
Haemolytic uraemic syndrome (HUS)
Infectious bloody diarrhoea
[F67Influenza of zoonotic originF67]
Invasive group A streptococcal disease and scarlet fever
Legionnaires' Disease
Leprosy
Malaria
Measles
Meningococcal septicaemia
[F67Middle East respiratory syndrome coronavirus (MERS)F67]
[F69MonkeypoxF69]
Mumps
[F67Neonatal herpesF67]
Plague
Rabies
Rubella
SARS
Smallpox
Tetanus
Tuberculosis
Typhus
Viral haemorrhagic fever (VHF)
Whooping cough
Yellow fever

Regulation 4(11)

SCHEDULE 2Causative Agents

[F70Acquired carbapenemase-producing Gram-negative bacteriaF70]
Bacillus anthracis
Bacillus cereus (only if associated with food poisoning)
Bordetella pertussis
Borrelia spp
Brucella spp
Burkholderia mallei
Burkholderia pseudomallei
Campylobacter spp
[F71Candidozyma aurisF71]
Chikungunya virus
Chlamydophila psittaci
Clostridium botulinum
Clostridium perfringens (only if associated with food poisoning)
Clostridium tetani
Corynebacterium diphtheriae
Corynebacterium ulcerans
Coxiella burnetii
Crimean-Congo haemorrhagic fever virus
Cryptosporidium spp
Dengue virus
Ebola virus
[F71Echinococcus sppF71]
Entamoeba histolytica
Francisella tularensis
Giardia lamblia
Guanarito virus
Haemophilus influenzae (invasive)
Hanta virus
Hepatitis A, B, C, delta, and E viruses
Influenza virus
Junin virus
Kyasanur Forest disease virus
Lassa virus
Legionella spp
Leptospira interrogans
Listeria monocytogenes
Machupo virus
Marburg virus
Measles virus
[F71Middle East respiratory syndrome coronavirus (MERS-CoV)F71]
[F72Monkeypox virusF72]
Mumps virus
Mycobacterium tuberculosis complex
Neisseria meningitidis
[F71Non-human influenza A subtypesF71]
[F71NorovirusF71]
Omsk haemorrhagic fever virus
Plasmodium falciparum, vivax, ovale, malariae, knowlesi
Polio virus (wild or vaccine types)
Rabies virus (classical rabies and rabies-related lyssaviruses)
[F71Respiratory syncytial virus (RSV)F71]
Rickettsia spp
Rift Valley fever virus
Rubella virus
Sabia virus
Salmonella spp
SARS coronavirus
[F73SARS-CoV 2F73]
Shigella spp
Streptococcus pneumoniae (invasive)
Streptococcus pyogenes (invasive)
[F71Tick-borne encephalitis virus (TBEV)F71]
[F71Toxoplasma (congenital toxoplasmosis)F71]
[F71Trichinella sppF71]
Varicella zoster virus
Variola virus
Verocytotoxigenic Escherichia coli (including E.coli O157)
Vibrio cholerae
West Nile Virus
Yellow fever virus
Yersinia pestis
[F71Yersinia sppF71]

Regulation 8

SCHEDULE 3Revocations

M81.The Public Health (Prevention of Tuberculosis) Regulations 1925 .

M92.The Public Health (Infectious Diseases) Regulations 1988 .

Status: There are currently no known outstanding effects for The Health Protection (Notification) Regulations 2010.
The Health Protection (Notification) Regulations 2010 (2010/659)

Displaying information

Status of this instrument

footnotecommentarytransitional and savingsin force statusrelated provisionsgeo extentinsert/omitsource countin force adj
F1Reg. 1(3) inserted (1.4.2013) by The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 148(2)inserted
F2Words in reg. 1(3) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(2)substituted
F3Words in reg. 1(3) inserted (11.4.2018) by The Secretaries of State for Health and Social Care and for Housing, Communities and Local Government and Transfer of Functions (Commonhold Land) Order 2018 (S.I. 2018/378), art. 1(2), Sch. para. 20(r) (with art. 14)this amendment (text inserted) should be read in conjunction with other related provisions, see the commentary.inserted
F4Reg. 4 heading substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(a)substituted
F5Words in reg. 4 heading substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(3)substituted
F6Words in reg. 4 heading inserted (6.4.2025) by The Health Protection (Notification) (Amendment) Regulations 2025 (S.I. 2025/291), regs. 1(2), 3(a)inserted
F7Words in reg. 4(1) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(3)substituted
F8Punctuation mark in reg. 4(1) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(b)(i)inserted
F9Words in reg. 4(1) renumbered as reg. 4(1)(a) (23.11.2020) by virtue of The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(b)(ii)renumbered
F10Reg. 4(1)(b) and word inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(b)(iii)inserted
F11Words in reg. 4(1)(b) omitted (3.3.2022) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/125), regs. 1(2)(c)(ii), 36(2) (with reg. 37(1)(2))this amendment (text omitted) should be read in conjunction with other related provisions, see the commentary.omitted
F12Reg. 4(1ZA) omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(i)omitted
F13Reg. 4(1A) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(c)inserted
F14Words in reg. 4(1A) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(3)substituted
F15Words in reg. 4(1A)(b) inserted (6.4.2025) by The Health Protection (Notification) (Amendment) Regulations 2025 (S.I. 2025/291), regs. 1(2), 3(b)inserted
F16Reg. 4(2)(aa) inserted (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(2)(a)(i)inserted
F17Reg. 4(2)(b)(ba) substituted for reg. 4(2)(b) (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(d)(i)substituted
F18Words in reg. 4(2)(ba) inserted (6.4.2025) by The Health Protection (Notification) (Amendment) Regulations 2025 (S.I. 2025/291), regs. 1(2), 3(c)inserted
F19Reg. 4(2)(da) inserted (1.10.2020) by The Health Protection (Notification) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/674), regs. 1, 2(2)inserted
F20Word in reg. 4(2)(j) omitted (23.11.2020) by virtue of The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(d)(ii)omitted
F21Reg. 4(2)(l) and word substituted for words in reg. 4(2)(k) (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(d)(iii)substituted
F22Words in reg. 4(2)(l) inserted (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(2)(a)(ii)inserted
F23Words in reg. 4(3) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(e)substituted
F24Reg. 4(3A)-(3C) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(f)inserted
F25Words in reg. 4(3A) substituted (18.3.2022 at 4.00 a.m.) by The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(ii)substituted
F26Words in reg. 4(3B) omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(iii)omitted
F27Words in reg. 4(3C) substituted (18.3.2022 at 4.00 a.m.) by The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(iv)substituted
F28Reg. 4(3D) omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(a)(v)omitted
F29Words in reg. 4(4) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(g)(i)substituted
F30Words in reg. 4(4) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(g)(ii)substituted
F31Words in reg. 4(6) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(3)substituted
F32Words in reg. 4(7) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(h)substituted
F33Reg. 4(7A) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(i)inserted
F34Punctuation mark in reg. 4(8) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(j)(i)inserted
F35Words in reg. 4(8) renumbered as reg. 4(8)(a) (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(j)(ii)renumbered
F36Reg. 4(8)(b) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(j)(iii)inserted
F37Reg. 4(8A) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(k)inserted
F38Words in reg. 4(11) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(i)inserted
F39Words in reg. 4(11) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(ii)inserted
F40Word in reg. 4(11) omitted (23.11.2020) by virtue of The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(iii)omitted
F41Words in reg. 4(11) inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(iv)inserted
F42Words in reg. 4(11) inserted (23.11.2020) by virtue of The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 3(l)(v)inserted
F43Reg. 4ZA omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(b)omitted
F44Reg. 4ZB omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(b)omitted
F45Reg. 4A inserted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 4inserted
F46Words in reg. 4A heading substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(5)substituted
F47Words in reg. 4A(1) omitted (3.3.2022) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/125), regs. 1(2)(c)(ii), 36(5) (with reg. 37(1)(2))this amendment (text omitted) should be read in conjunction with other related provisions, see the commentary.omitted
F48Words in reg. 4A(3) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(5)substituted
F49Reg. 4A(7) renumbered as reg. 4A(6) (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(5)(a)renumbered
F50Words in reg. 4A(6) substituted (1.10.2021) by virtue of The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(5)substituted
F51Word in reg. 4A(6)(a) substituted (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(5)(b)substituted
F52Reg. 4A(8) renumbered as reg. 4A(7) (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(5)(c)renumbered
F53Reg. 4A(9) renumbered as reg. 4A(8) (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(5)(d)renumbered
F54Reg. 4A(10) renumbered as reg. 4A(9) (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(5)(e)renumbered
F55Reg. 4B omitted (3.3.2022) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/125), regs. 1(2)(c)(ii), 36(6) (with reg. 37(1)(2))this amendment (text omitted) should be read in conjunction with other related provisions, see the commentary.omitted
F56Words in reg. 5 heading substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(6)substituted
F57Words in reg. 5(1) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(6)substituted
F58Words in reg. 5(2) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(6)substituted
F59Words in reg. 5(5) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(6)substituted
F60Words in reg. 5(6) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(6)substituted
F61Reg. 6(2)(a) substituted (1.4.2013) by The National Treatment Agency (Abolition) and the Health and Social Care Act 2012 (Consequential, Transitional and Saving Provisions) Order 2013 (S.I. 2013/235), art. 1(2), Sch. 2 para. 148(5)substituted
F62Words in reg. 6(2)(a) substituted (1.10.2021) by The Public Health England (Dissolution) (Consequential Amendments) Regulations 2021 (S.I. 2021/974), regs. 1(1), 5(7)substituted
F63Words in reg. 7(1)(a) substituted (23.11.2020) by The Health Protection (Notification) (Amendment) (Coronavirus) Regulations 2020 (S.I. 2020/1175), regs. 1(1), 5substituted
F64Words in reg. 7(1)(a) inserted (21.9.2021) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 9) Regulations 2021 (S.I. 2021/966), regs. 1(4)(h), 21(6)(a)inserted
F65Words in reg. 7(1)(a) omitted (18.3.2022 at 4.00 a.m.) by virtue of The Health Protection (Coronavirus, International Travel and Operator Liability) (Revocation) (England) Regulations 2022 (S.I. 2022/317), regs. 1(2), 3(c)omitted
F66Words in reg. 7(1)(a) substituted (3.3.2022) by The Health Protection (Coronavirus, International Travel and Operator Liability) (England) (Amendment) (No. 2) Regulations 2022 (S.I. 2022/125), regs. 1(2)(c)(ii), 36(7) (with reg. 37(1)(2))this amendment (text substituted) should be read in conjunction with other related provisions, see the commentary.substituted
F67Words in Sch. 1 inserted (6.4.2025) by The Health Protection (Notification) (Amendment) Regulations 2025 (S.I. 2025/291), regs. 1(2), 4inserted
F68Sch. 1: entry inserted (5.3.2020 at 6.15 p.m.) by The Health Protection (Notification) (Amendment) Regulations 2020 (S.I. 2020/237), regs. 1(2), 2(2)inserted
F69Words in Sch. 1 inserted (8.6.2022) by The Health Protection (Notification) (Amendment) Regulations 2022 (S.I. 2022/616), regs. 1(2), 2(2)inserted
F70Sch. 2: entry inserted (1.10.2020) by The Health Protection (Notification) (Amendment) (No. 2) Regulations 2020 (S.I. 2020/674), regs. 1, 2(3)inserted
F71Words in Sch. 2 inserted (6.4.2025) by The Health Protection (Notification) (Amendment) Regulations 2025 (S.I. 2025/291), regs. 1(2), 5inserted
F72Words in Sch. 2 inserted (8.6.2022) by The Health Protection (Notification) (Amendment) Regulations 2022 (S.I. 2022/616), regs. 1(2), 2(3)inserted
F73Sch. 2: entry inserted (5.3.2020 at 6.15 p.m.) by The Health Protection (Notification) (Amendment) Regulations 2020 (S.I. 2020/237), regs. 1(2), 2(3)inserted
M11984 c.22. See section 45T(6) of that Act for the definition of “the appropriate Minister”. Sections 45C, 45F, 45P and 45T were inserted into that Act by section 129 of the Health and Social Care Act 2008 (c.14) (“the 2008 Act”) and section 60A was inserted into that Act by section 130 and Schedule 11, paragraph 16 of the 2008 Act.
M2See section 74 of the Public Health (Control of Disease) Act 1984 (c.22) (“the 1984 Act”) for the definition of “proper officer”.
M3See section 45A of the 1984 Act for the interpretation of “infection”.
M4See section 45A of the 1984 Act for the interpretation of “contamination” and related expressions.
M51996 c.56.
M6S.I. 2010/657.
M7S.I. 2010/658.
M8S.I. 1925/757.
M9S.I. 1988/1546.
Defined TermSection/ArticleIDScope of Application
carerreg. 4.carer_lggvB7F
carerreg. 4A.carer_rtAq57E
causative agentreg. 4.causative__lgzTqGN
childreg. 2.child_lgv1ahp
childreg. 4.child_lghzJuw
childreg. 4A.child_rtPyKM3
diagnostic laboratoryreg. 4.diagnostic_lgWYY5m
director of a diagnostic laboratoryreg. 4.director_o_lgqgIeu
disabilityreg. 4.disability_lgIZPwe
disabilityreg. 4A.disability_rttrWbS
guardianreg. 4.guardian_lgloB8E
guardianreg. 4A.guardian_rtTL5ZP
notifiable diseasereg. 2.notifiable_lgvyyPP
notifiable diseasereg. 3.notifiable_rtYeyuw
operator of a diagnostic laboratoryreg. 4.operator_o_lgKitny
parentreg. 2.parent_lg01yUL
parentreg. 4.parent_lgk7bbx
parentreg. 4A.parent_rttv4qK
relevant local authorityreg. 2.relevant_l_lgvRD1E
relevant local authorityreg. 3.relevant_l_lgQcHNb
test providerreg. 4A.test_provi_rtqiKHw
the United Kingdom Health Security Agencyreg. 1.the_United_rtOzM2W
This instrument is derived from the version at www.legislation.gov.uk. To see a list of all amendments (including any to be made) check the resources page for this instrument on their website. Note, the status of this instrument is given above.
This instrument is derived from the version at www.legislation.gov.uk. To see original commencement information, check the resources page associated with this instrument. n.b. commencement information for marked amendments is embedded in the relevant footnote.

Status of changes to instrument text

The list includes made instruments, both those in force and those yet to come into force. Typically, instruments that are not yet in force (hence their changes are not incorporated into the text above) are indicated by description 'not yet' in the changes made column.