This document establishes the specific regulatory amendments governing the appointment of consultants within the National Health Service for England and Wales as of 1990. The text serves as a formal legal instrument issued by the government to modify existing administrative procedures. It provides the precise statutory framework required for health authorities to manage senior medical staffing appointments during this period.

This document is a primary source intended for legal professionals, policy researchers, and historians studying the administrative evolution of the British healthcare system. Experts note that the text is written in highly technical legislative language and serves as a reference for regulatory compliance rather than general reading.