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13. In paragraph 43 of Part 5 of Schedule 2 (sub-contracting of clinical matters)—
(a)in sub-paragraph (4) for “A contractor,”, substitute, “Subject to sub-paragraph (4A), a contractor”; and
(b)after sub-paragraph (4), insert—
“(4A) A sub-contract entered into by a contractor may allow the sub-contractor to sub-contract clinical services the contractor has agreed to provide under the Network Contract Directed Enhanced Service Scheme, pursuant to direction 4 of the Primary Medical Services (Directed Enhanced Services) Directions 2020(1), provided the contractor has obtained the written approval of the Board prior to the sub-contractor sub-contracting those services.”.
The Primary Medical Services (Directed Enhanced Services) (No. 2) Directions 2020, which were signed on 3rd September 2020. These directions are available at https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/914724/the-primary-medical-services-directed-enhanced-services-no-2-directions-2020.pdf or hard copies can be obtained by writing to the GP Team, Fourth Floor, 39 Victoria Street, London SW1H 0EU.
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