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19.—(1) The contractor shall notify the Primary Care Trust in writing of any request for removal from its list of patients received from a registered patient.
(2) Where the Primary Care Trust—
(a)receives notification from the contractor under sub-paragraph (1); or
(b)receives a request from the patient to be removed from the contractor’s list of patients,
it shall remove that person from the contractor’s list of patients.
(3) A removal in accordance with sub-paragraph (2) shall take effect—
(a)on the date on which the Primary Care Trust receives notification of the registration of the person with another provider of essential services (or their equivalent); or
(b)14 days after the date on which the notification or request made under sub-paragraph (1) or (2) respectively is received by the Primary Care Trust,
whichever is the sooner.
(4) The Primary Care Trust shall, as soon as practicable, notify in writing—
(a)the patient; and
(b)the contractor,
that the patient’s name will be or has been removed from the contractor’s list of patients on the date referred to in sub-paragraph (3).
(5) In this paragraph and in paragraphs 20(1)(b) and (10), 21(6) and (7), 23 and 26, a reference to a request received from or advice, information or notification required to be given to a patient shall include a request received from or advice, information or notification required to be given to—
(a)in the case of a patient who is a child, a parent or other person referred to in paragraph 15(4)(a); or
(b)in the case of an adult patient who is incapable of making the relevant request or receiving the relevant advice, information or notification, a relative or the primary carer of the patient.