16 Substitution of regulation 21B of the principal Regulations
For regulation 21B of the principal Regulations (dispensing doctor lists) substitute the following regulation—

“21B Lapse of outline consent and premises approval
1 An outline consent will cease to have effect—
(a) where no arrangement under regulation 20 has been made pursuant to it within 12 months from its taking effect;
(b) where more than twelve months have elapsed since the last provision of drugs and appliances under an arrangement made pursuant to regulation 20;
(c) in accordance with regulation 21A(10) or (13); or
(d) where there is a practice amalgamation and following the amalgamation there are no practice premises which have premises approval.
2 Premises approval will cease to have effect in relation to—
(a) listed premises which have permanently ceased to be practice premises;
(b) listed premises which have not been used for dispensing by any doctor authorised to dispense from those premises for six months or such longer period as the Local Health Board may for good cause allow;
(c) listed premises where a doctor who has outline consent to dispense from those premises has notified the Local Health Board that all the doctors who have authority to dispense from those premises have ceased to do so;
(d) listed premises where there is no doctor with premises approval in respect of them remaining on the dispensing doctor list; or
(e) listed premises which were granted premises approval under regulation 21E(3), where no practice amalgamation takes place within the period specified in regulation 21E(7).
3 Premises approval will cease to have effect where the related outline consent ceases to have effect.”

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