The purpose of the instrument is to: • enable Healthcare Improvement Scotland (HIS) to regulate independent clinics where services are provided by pharmacists and pharmacy technicians; • amend the definition of Independent Medical Agency to cover services provided by dental practitioners, registered nurses, registered midwives, dental care professionals, pharmacists and pharmacy technicians which will include wholly online services based in Scotland; and • enable HIS to cancel the registration of independent health care services that fail to pay their continuation fees.