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| constitution),’ and insert— |
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| | ‘ () | Section 2 (duty to have regard to NHS constitution) is amended as follows. |
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| | () | In subsection (1), for “NHS functions” substitute “health service functions”.’. |
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| Schedule 5, page 273, line 30, at end insert— |
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| | ‘(cc) | local authorities (within the meaning of section 2B of the |
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| | National Health Service Act 2006);”.’. |
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| Schedule 5, page 273, line 30, at end insert— |
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| | ‘() | In subsection (3), for “an “NHS function”” substitute “a “health service |
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| | |
| | |
| | (a) | before paragraph (a) insert— |
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| | “(za) | provides health services under arrangements made by |
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| | the National Health Service Commissioning Board or |
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| | a commissioning consortium under or by virtue of |
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| | section 3, 3A, 3B or 4 of, or Schedule 1 to, the |
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| | National Health Service Act 2006,”, |
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| | (b) | omit the word “or” at the end of paragraph (a), and |
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| | (c) | after paragraph (b) insert ‘, or |
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| | (c) | provides health services under arrangements made by |
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| | a local authority for the purposes of its functions |
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| | under or by virtue of section 2B or 6C(1) of, or |
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| | Schedule 1 to, that Act.” |
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| | () | In subsection (5) for “subsection (4)(a) or (b)” substitute “subsection (4)(za), |
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| Schedule 5, page 273, line 30, at end insert— |
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| | ‘ (1) | Section 3 (availability and review of NHS constitution) is amended as follows. |
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| | (2) | In subsection (3), omit paragraph (d). |
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| | (3) | Omit subsection (8).’. |
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| Schedule 5, page 273, line 31, leave out ‘In section 8 (duty of providers to publish |
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| information),’ and insert— |
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| | ‘ () | Section 8 (duty of providers to publish information) is amended as follows. |
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| | () | In subsection (1) for “NHS services” (in each place where it occurs) substitute |
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| | “relevant health services”. |
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| Schedule 5, page 273, line 32, at end insert— |
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| | ‘() | In subsection (3) for paragraphs (a) to (c) substitute— |
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| | “(a) | provides health services as mentioned in section 2(4)(za) or |
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| | (b) | in pursuance of a contract, agreement or arrangements as |
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| | mentioned in section 2(4)(za) or (a), makes arrangements for |
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| | another person to provide health services,”. |
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| | () | For subsection (6) substitute— |
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| | “health services” has the same meaning as in Chapter 1; |
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| | “relevant health services” means health services the provision of which |
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| | is arranged by the National Health Service Commissioning Board or a |
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| | commissioning consortium under or by virtue of section 3, 3A, 3B or |
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| | 4 of, or Schedule 1 to, the National Health Service Act 2006 or under |
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| | or by virtue of Parts 4 to 7 of that Act.”’. |
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| Schedule 5, page 273, line 32, at end insert— |
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| | ‘ | In section 9 (supplementary provision about the duty to publish information), |
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| | in subsection (3), for “a Strategic Health Authority” substitute “Monitor”.’. |
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| Schedule 5, page 273, line 34, leave out paragraphs 77 and 78. |
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| Schedule 5, page 274, line 3, at end insert— |
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| | ‘ | The Equality Act 2010 is amended as follows. |
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| | | In section 1 (public sector duty regarding socio-economic inequalities), in |
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| | (a) | omit paragraph (h), and |
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| | (b) | omit paragraph (i).’. |
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| Schedule 6, page 274, line 33, at end insert— |
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| | ‘Directions under section 7 of the 2006 Act |
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| | 1A (1) | This paragraph applies if section 17 is commenced before section 29(1). |
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| | (2) | Until section 29(1) is commenced, section 7(1) of the 2006 Act has effect as if |
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| | after “Special Health Authority” there were inserted “or Primary Care Trust”. |
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| | (3) | Sub-paragraph (4) applies in relation to any direction given under section 7(1) |
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| | of the 2006 Act to a Primary Care Trust which has effect immediately before |
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| | |
| | (4) | Until section 29(1) is commenced, the direction continues to have effect as if |
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| | given to the Primary Care Trust under section 7(1) of the 2006 Act (as it has |
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| | effect by virtue of sub-paragraph (2)). |
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| | (5) | Sub-paragraph (6) applies in relation to any direction given under section 7(2) |
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| | of the 2006 Act to a Special Health Authority in respect of the functions of a |
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| | Primary Care Trust which has effect immediately before section 17 is |
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| | |
| | (6) | Until section 29(1) is commenced, the direction continues to have effect as if |
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| | given to the Special Health Authority in respect of the functions of the Primary |
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| | Care Trust under section 7(1) of the 2006 Act. |
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| | (7) | Any reference in this paragraph to section 7(1) of the 2006 Act is a reference |
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| | to that provision as amended by section 17. |
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| | 1B (1) | Sub-paragraph (2) applies in relation to any direction given under section 7(1) |
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| | of the 2006 Act to a Special Health Authority which has effect immediately |
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| | before section 17 is commenced. |
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| | (2) | The direction continues to have effect on and after the commencement of that |
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| | section as if given under section 7(1) of the 2006 Act (as amended by section |
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| Clause 46, page 60, line 5, at end insert— |
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| | ‘( ) | Schedule Abolition of the Health Protection Agency: consequential amendments |
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| | (which makes amendments of other enactments in consequence of the provision |
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| | made by this section) has effect.’ |
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| Clause 62, page 68, line 40, leave out subsection (2). |
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| Clause 62, page 69, line 3, leave out subsection (4). |
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| Clause 62, page 69, line 16, leave out ‘sections 60 and’ and insert ‘section’. |
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| Clause 63, page 69, line 42, at end insert— |
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| | ‘(ba) | do not act in a manner that would (or would be likely to) prevent, restrict |
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| | or distort competition in the provision of health care services for those |
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| Clause 63, page 69, line 43, leave out paragraph (c). |
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| Clause 63, page 69, line 45, leave out ‘Subsection (1) applies’ and insert |
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| ‘Requirements imposed by regulations under this section apply’. |
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| Clause 63, page 70, leave out line 3. |
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| Clause 64, page 70, line 13, at end insert— |
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| | ‘(aa) | a power to investigate on its own initiative whether the National Health |
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| | Service Commissioning Board or a commissioning consortium has failed |
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| | to comply with a requirement imposed by virtue of section 63(1)(ba);’. |
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| Clause 64, page 70, line 16, after ‘(a)’ insert ‘or (aa)’. |
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| Clause 64, page 70, leave out lines 23 to line 15 on page 71. |
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| Clause 64, page 70, line 26, leave out paragraph (b). |
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| Clause 64, page 70, line 29, leave out ‘powers conferred by virtue of subsection (3) |
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| are’ and insert ‘power conferred by virtue of subsection (3) is’. |
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| Clause 67, page 72, line 43, after ‘considers’ insert ‘would or’. |
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| Clause 69, page 73, line 21, leave out from first ‘the’ to end of line 21 and insert |
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| ‘non-designation of the service for the purposes of this Part. |
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| | (1A) | In the absence of an application under subsection (1) it is assumed that all health |
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| | services are designated.’. |
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| Clause 69, page 73, leave out line 23. |
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| Clause 69, page 73, line 24, after second ‘is,’ insert ‘not’. |
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| Clause 69, page 73, line 31, at end insert— |
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| | ‘(c) | increase or fail to decrease inequalities between the people of England |
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| | (iii) | access to health services.’. |
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| Clause 69, page 73, line 39, at end insert— |
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| | ‘(ba) | the potential impact on other services in the organisation or region’. |
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| Clause 69, page 74, line 1, leave out ‘must grant an application under this section’ |
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| and insert ‘may grant an application under this section only’. |
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| Clause 69, page 74, line 6, leave out from beginning to ‘to’ in line 7 and insert |
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| ‘Monitor must give notice of its decision on an application under this section’. |
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| Clause 69, page 74, line 10, at beginning insert ‘Where Monitor grants the |
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| Clause 69, page 74, line 11, leave out ‘right of appeal conferred by section 70’ and |
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| insert ‘rights conferred by section (Complaint about grant of application for |
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| Clause 69, page 74, line 11, at end insert— |
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| | ‘( ) | Where Monitor refuses the application, a notice under subsection (7) given to the |
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| | commissioner or the provider of the service must— |
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| | (a) | give the reasons for the refusal, and |
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| | (b) | explain the rights conferred by section (Complaint about refusal of |
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| | application for designation).’. |
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| Page 74, line 42, leave out Clause 70. |
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| Clause 71, page 75, line 10, leave out ‘the relevant’ and insert ‘each review’. |
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| Clause 71, page 75, line 14, leave out subsection (2) and insert— |
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| | ‘(2) | The first review period is a period which is of such duration as Monitor may by |
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| | direction specify but which— |
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| | (a) | must not begin before the expiry of the period of one year after the date |
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| | of the notice under section 69(7), and |
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| | (b) | must end before the expiry of the period of ten years after that date. |
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| | (2A) | Each subsequent review period is a period which is of such duration as Monitor |
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| | may by direction specify but which— |
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| | (a) | must not begin before the expiry of the period of one year after the date |
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| | on which the previous review under subsection (1) was completed, and |
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| | (b) | must end before the expiry of the period of ten years after that date. |
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| | (2B) | For the purposes of subsections (2) and (2A), Monitor may specify— |
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| | (a) | the same period in respect of all designated services, or |
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| | (b) | different periods in respect of different designated services or designated |
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| | services of different descriptions.’. |
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| Clause 71, page 75, line 35, leave out ‘must grant an application under subsection |
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| (3)’ and insert ‘may grant an application under subsection (3) only’. |
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| Clause 71, page 75, line 40, leave out from beginning to ‘to’ in line 41 and insert |
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| ‘Monitor must give notice of its decision on an application under subsection (3)’. |
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| Clause 71, page 75, line 43, at end insert— |
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| | ‘( ) | Where Monitor grants the application, a notice under subsection (7) given to a |
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| | provider of a service for the purposes of the NHS must explain the rights |
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| | conferred by section (Complaint about grant of application for removal of |
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| | ( ) | Where Monitor refuses the application, the notice under subsection (7) given to |
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| | (a) | give the reasons for the refusal, and |
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| | (b) | explain the rights conferred by section (Complaint about refusal of |
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| | application for removal of designation).’. |
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| Clause 71, page 76, line 1, leave out subsections (8) to (10). |
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| Clause 77, page 79, line 24, at end insert ‘; |
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| | ( ) | where the Secretary of State is proposing to give a direction under |
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| | subsection (3)(b) or (c), give notice of the proposal to the person from |
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| | whom the Secretary of State proposes to withdraw the exemption.’. |
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| Clause 77, page 79, line 30, at end insert— |
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| | ‘( ) | The period so specified must be not less than 28 days beginning with the |
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| | day after that on which the notice is received or (as the case may be) |
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