Pharmacy Manual - NHS England

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1 Pharmacy Manual List of Annexes Part 2 Chapter 5 Annex 1 Fitness Information Form Pharmacy Sole Trader p1 Annex 2 First Referral Questions p9 Annex 3 Confirmation of Receipt of Information p10 Annex 4 Request for Missing Information p11 Annex 5 Notification of Outcome of Review and Request for Missing Information p12 Annex 6 Notification of Outcome of Review and Withdrawal of Request p13 Annex 7 Confirmation of Receipt of Missing Information p14 Annex 8 Missing Information Not Received p15 Annex 9 Request for Missing Undertakings p16 Annex 10 Confirmation of Receipt of Missing Undertakings p17 Annex 11 Missing Undertakings Not Received p18 Annex 12 Email to GPhC p19 Annex 13 Unable to Confirm GPhC Registration p20 Annex 14 Enquiry to NHS Counter Fraud Authority p21 Annex 15 Reference Request p22 Annex 16 Letter to Referee Chasing Response p30 Annex 17 Letter to Applicant Non-receipt of Reference p31 Annex 18 Committee Report p32 Annex 19 Approval Letter p34 Annex 20 Refusal Language Requirement p35 Annex 21 Mandatory Refusal p36 Annex 22 Discretionary Refusal p38 Annex 23 Minded to Place Conditions p40 Annex 24 Conditions p41 Annex 25 Deferral p43 Annex 26 No Further Grounds to Defer p44 Annex 27 Application Withdrawn p45 Annex 28 Application Proceeding p46 Annex 29 Notification of Refusal of Application to Interested Parties p47 Annex 30 Notification of Refusal Regulation 88 Notification p48 Annex 31 Notification of Conditions Regulation 88 Notification p49 Chapter 6 Annex 1 Fitness Information Form Pharmacy Partnership p50 Annex 2 First Referral Questions p59 Annex 3 Confirmation of Receipt of Information p60 Annex 4 Request for Missing Information p61 Annex 5 Notification of Outcome of Review and Request for Missing Information p62 Annex 6 Notification of Outcome of Review and Withdrawal of Request p63 Annex 7 Confirmation of Receipt of Missing Information p64 Annex 8 Missing Information Not Received p65

Transcript of Pharmacy Manual - NHS England

1

Pharmacy Manual

List of Annexes Part 2

Chapter 5

Annex 1 Fitness Information Form – Pharmacy Sole Trader p1

Annex 2 First Referral Questions p9

Annex 3 Confirmation of Receipt of Information p10

Annex 4 Request for Missing Information p11

Annex 5 Notification of Outcome of Review and Request for Missing Information p12

Annex 6 Notification of Outcome of Review and Withdrawal of Request p13

Annex 7 Confirmation of Receipt of Missing Information p14

Annex 8 Missing Information Not Received p15

Annex 9 Request for Missing Undertakings p16

Annex 10 Confirmation of Receipt of Missing Undertakings p17

Annex 11 Missing Undertakings Not Received p18

Annex 12 Email to GPhC p19

Annex 13 Unable to Confirm GPhC Registration p20

Annex 14 Enquiry to NHS Counter Fraud Authority p21

Annex 15 Reference Request p22

Annex 16 Letter to Referee – Chasing Response p30

Annex 17 Letter to Applicant – Non-receipt of Reference p31

Annex 18 Committee Report p32

Annex 19 Approval Letter p34

Annex 20 Refusal – Language Requirement p35

Annex 21 Mandatory Refusal p36

Annex 22 Discretionary Refusal p38

Annex 23 Minded to Place Conditions p40

Annex 24 Conditions p41

Annex 25 Deferral p43

Annex 26 No Further Grounds to Defer p44

Annex 27 Application Withdrawn p45

Annex 28 Application Proceeding p46

Annex 29 Notification of Refusal of Application to Interested Parties p47

Annex 30 Notification of Refusal – Regulation 88 Notification p48

Annex 31 Notification of Conditions – Regulation 88 Notification p49

Chapter 6

Annex 1 Fitness Information Form – Pharmacy Partnership p50

Annex 2 First Referral Questions p59

Annex 3 Confirmation of Receipt of Information p60

Annex 4 Request for Missing Information p61

Annex 5 Notification of Outcome of Review and Request for Missing Information p62

Annex 6 Notification of Outcome of Review and Withdrawal of Request p63

Annex 7 Confirmation of Receipt of Missing Information p64

Annex 8 Missing Information Not Received p65

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Annex 9 Request for Missing Undertakings p66

Annex 10 Confirmation of Receipt of Missing Undertakings p67

Annex 11 Missing Undertakings Not Received p68

Annex 12 Email to GPhC p69

Annex 13 Unable to Confirm GPhC Registration p70

Annex 14 Enquiry to NHS Counter Fraud Authority p71

Annex 15 Reference Request p72

Annex 16 Letter to Referee – Chasing Response p80

Annex 17 Letter to Applicant – Non-receipt of Reference p81

Annex 18 Committee Report p82

Annex 19 Approval Letter p84

Annex 20 Refusal – Language Requirement p85

Annex 21 Mandatory Refusal p86

Annex 22 Discretionary Refusal p88

Annex 23 Minded to Place Conditions p90

Annex 24 Conditions p91

Annex 25 Deferral p93

Annex 26 No Further Grounds to Defer p94

Annex 27 Application Withdrawn p95

Annex 28 Application Proceeding p96

Annex 29 Notification of Refusal of Application to Interested Parties p97

Annex 30 Notification of Mandatory Refusal – Regulation 88 Notification p98

Annex 31 Notification of Conditions – Regulations 88 Notification p99

Chapter 7

Annex 1 Fitness Information Form – Pharmacy Body Corporate p100

Annex 2 First Referral Questions p121

Annex 3 Confirmation of Receipt of Information p122

Annex 4 Request for Missing Information p123

Annex 5 Notification of Outcome of Review and Request for Missing Information p124

Annex 6 Notification of Outcome of Review and Withdrawal of Request p125

Annex 7 Confirmation of Receipt of Missing Information p126

Annex 8 Missing Information Not Received p127

Annex 9 Request for Missing Undertakings p128

Annex 10 Confirmation of Receipt of Missing Undertakings p129

Annex 11 Missing Undertakings Not Received p130

Annex 12 Companies House Registration – Not Confirmed p131

Annex 13 Companies House Registration Post-dates Application p132

Annex 14 Email to GPhC p133

Annex 15 Unable to Confirm Registration of Superintendent p134

Annex 16 Unable to Confirm Registration of Directors p135

Annex 17 Enquiry to NHS Counter Fraud Authority p136

Annex 18 Reference Request p137

Annex 19 Letter to Referee – Chasing Response p145

Annex 20 Letter to Applicant – Non-receipt of Reference p146

Annex 21 Committee Report p147

Annex 22 Approval Letter p149

Annex 23 Mandatory Refusal p150

Annex 24 Discretionary Refusal p152

Annex 25 Minded to Place Conditions p154

Annex 26 Conditions p155

Annex 27 Deferral p157

Annex 28 No Further Grounds to Defer p158

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Annex 29 Application Withdrawn p159

Annex 30 Application Proceeding p160

Annex 31 Notification of Refusal of Application to Interested Parties p161

Annex 32 Notification of Refusal – Regulation 88 Notification p162

Annex 33 Notification of Conditions – Regulation 88 Notification p163

Chapter 8

Annex 1 Fitness Information Form – Individual DAC (Sole Trader) p164

Annex 2 First Referral Questions P172

Annex 3 Confirmation of Receipt of Information p173

Annex 4 Request for Missing Information p174

Annex 5 Notification of Outcome of Review and Request for Missing Information p175

Annex 6 Notification of Outcome of Review and Withdrawal of Request p176

Annex 7 Confirmation of Receipt of Missing Information p177

Annex 8 Missing Information Not Received p178

Annex 9 Request for Missing Undertakings p179

Annex 10 Confirmation of Receipt of Missing Undertakings p180

Annex 11 Missing Undertakings Not Received p181

Annex 12 Email to GPhC p182

Annex 13 Unable to Confirm GPhC Registration p183

Annex 14 Enquiry to NHS Counter Fraud Authority p184

Annex 15 Reference Request p185

Annex 16 Letter to Referee – Chasing Response p193

Annex 17 Letter to Applicant – Non-receipt of Reference p194

Annex 18 Committee Report p195

Annex 19 Approval Letter p197

Annex 20 Refusal – Language Requirement p198

Annex 21 Mandatory Refusal p199

Annex 22 Discretionary Refusal p201

Annex 23 Minded to Place Conditions p203

Annex 24 Conditions p204

Annex 25 Deferral p206

Annex 26 No Further Grounds to Defer p207

Annex 27 Application Withdrawn p208

Annex 28 Application Proceeding p209

Annex 29 Notification of Refusal of Application to Interested Parties p210

Annex 30 Notification of Refusal – Regulation 88 Notification p211

Annex 31 Notification of Conditions – Regulation 88 Notification p212

Chapter 9

Annex 1 Fitness Information Form – DAC Partnership p213

Annex 2 First Referral Questions p222

Annex 3 Confirmation of Receipt of Information p223

Annex 4 Request for Missing Information p224

Annex 5 Notification of Outcome of Review and Request for Missing Information p225

Annex 6 Notification of Outcome of Review and Withdrawal of Request p226

Annex 7 Confirmation of Receipt of Missing Information p227

Annex 8 Missing Information Not Received p228

Annex 9 Request for Missing Undertakings p229

Annex 10 Confirmation of Receipt of Missing Undertakings p230

Annex 11 Missing Undertakings Not Received p231

Annex 12 Email to GPhC p232

Annex 13 Unable to Confirm GPhC Registration p233

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Annex 14 Enquiry to NHS Counter Fraud Authority p234

Annex 15 Reference Request p235

Annex 16 Letter to Referee – Chasing Response p243

Annex 17 Letter to Applicant – Non-receipt of Reference p244

Annex 18 Committee Report p245

Annex 19 Approval Letter p247

Annex 20 Refusal – Language Requirement p248

Annex 21 Mandatory Refusal p249

Annex 22 Discretionary Refusal p251

Annex 23 Minded to Place Conditions p253

Annex 24 Conditions p254

Annex 25 Deferral p256

Annex 26 No Further Grounds to Defer p257

Annex 27 Application Withdrawn p258

Annex 28 Application Proceeding p259

Annex 29 Notification of Refusal of Application to Interested Parties p260

Annex 30 Notification of Mandatory Refusal – Regulation 88 Notification p261

Annex 31 Notification of Conditions – Regulation 88 Notification p262

Chapter 10

Annex 1 Fitness Information Form – DAC Body Corporate p263

Annex 2 First Referral Questions p276

Annex 3 Confirmation of Receipt of Information p277

Annex 4 Request for Missing Information p278

Annex 5 Notification of Outcome of Review and Request for Missing Information p279

Annex 6 Notification of Outcome of Review and Withdrawal of Request p280

Annex 7 Confirmation of Receipt of Missing Information p281

Annex 8 Missing Information Not Received p282

Annex 9 Request for Missing Undertakings p283

Annex 10 Confirmation of Receipt of Missing Undertakings p284

Annex 11 Missing Undertakings Not Received p285

Annex 12 Companies House Registration – Not Confirmed p286

Annex 13 Companies House Registration Post-dates Application p287

Annex 14 Email GPhC p288

Annex 15 Unable to Confirm Registration of Director(s) p289

Annex 16 Enquiry to NHS Counter Fraud Authority p290

Annex 17 Reference Request p291

Annex 18 Letter to Referee – Chasing Response p299

Annex 19 Letter to Applicant – Non-receipt of Reference p300

Annex 20 Committee Report p301

Annex 21 Approval Letter p303

Annex 22 Mandatory Refusal p304

Annex 23 Discretionary Refusal p306

Annex 24 Minded to Place Conditions p308

Annex 25 Conditions p309

Annex 26 Deferral p311

Annex 27 No Further Grounds to Defer p312

Annex 28 Application Withdrawn p313

Annex 29 Application Proceeding p314

Annex 30 Notification of Refusal of Application to Interested Parties p315

Annex 31 Notification of Mandatory Refusal – Regulation 88 Notification p316

Annex 32 Notification of Conditions – Regulation 88 Notification p317

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Chapter 11

Annex 1 Change of Director and/or Superintendent - Pharmacy p318

Annex 2 Change of Director – DAC p333

Annex 3 First Referral Questions p342

Annex 4 Confirmation or Receipt of Information p343

Annex 5 Request for Missing Information p344

Annex 6 Confirmation of Receipt of Missing Information p345

Annex 7 Email to GPhC p346

Annex 8 Unable to Confirm GPhC Registration p347

Annex 9 Unable to confirm GPhC Registration p348

Annex 10 Enquiry to NHS Counter Fraud Authority p349

Annex 11 Reference Request p350

Annex 12 Letter to Referee – Chasing Response p358

Annex 13 Letter to Individual – Non-receipt of Reference p359

Annex 14 Committee Report p361

Annex 15 Suitable Letter p362

Annex 16 Letter of Removal p363

Annex 17 Letter of Contingent Removal p365

Annex 18 Letter of Suspension p367

Annex 19 Notification of Suspension – Regulation 88 Notification p368

Annex 20 Notification of Removal – Regulation 88 Notification P369

Annex 21 Change to the Pharmaceutical List – Memo p370

Annex 22 Notification of Contingent Removal – Regulation 88 Notification p371

Annex 23 Notification of Suspension – Regulation 88 Notification p372

Annex 24 Notification of Removal – Regulation 88 Notification p373

Annex 25 Change to the Pharmaceutical List – Memo p374

Annex 26 Notification of Contingent Removal – Regulation 88 Notification p375

Chapter 12

Annex 1 Application Form - Offering to meet an identified current need p376

Annex 2 Information to be included in all routine and expected applications for inclusion in a pharmaceutical list

p385

Annex 3 First Referral Questions p392

Annex 4 Identifying Interested Parties: Notifiable Applications p394

Annex 5 Acknowledgement of Receipt of Application p396

Annex 6 Acknowledgement of Receipt of Application and Request for Further Information

p397

Annex 7 Notification of Outcome of Review and Request for Missing Information p398

Annex 8 Notification of Outcome of Review and Withdrawal of Request p399

Annex 9 Acknowledgement of Receipt of Missing Information p400

Annex 10 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p401

Annex 11 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p402

Annex 12 Acknowledgement of Receipt of Missing Undertakings p403

Annex 13 Confirmation of Non-receipt of Missing Undertaking and Notification of Application Withdrawn

p404

Annex 14 Notification of Decision to Defer on Non-fitness Grounds p405

Annex 15 Notification of Cessation of Deferral – Non-fitness Grounds p406

Annex 16 Notification that Best Estimate is Unacceptable p407

Annex 17 Confirmation Second Best Estimate Acceptable p408

Annex 18 Notification of Application to Interested Parties p409

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Annex 19 Request for Payment p411

Annex 20 Confirmation of Comments on Application p412

Annex 21 Notification That Payment Has Not Cleared and Application Is Withdrawn

p413

Annex 22 Notification of Oral Hearing – Applicant p414

Annex 23 Notification of Oral Hearing – Additional Presenters p415

Annex 24 Committee Report p416

Annex 25 Granted (Address Known) – Applicant p420

Annex 26 Acceptance of Regulation 66(5) Condition p423

Annex 27 Granted (Address Known) – Third Party with No Appeal Rights p424

Annex 28 Granted (Address Known) – Third Party with Appeal Rights p425

Annex 29 Granted (Best Estimate) – Applicant p426

Annex 30 Granted (Best Estimate) – Third Party Without Appeal Rights p429

Annex 31 Granted (Best Estimate) – Third Party with Appeal Rights P430

Annex 32 Notification of Refusal of Application – Applicant p431

Annex 33 Notification of Refusal of Application – Third Party p432

Annex 34 Notification That Secretary of State Grants Application p433

Annex 35 Notification That Secretary of State Grants Application p436

Annex 36 Confirmation of No Appeal (Address Known) p439

Annex 37 Confirmation of No Appeal (Best Estimate) p440

Annex 38 Notification of Receipt of Premises – Not Valid p443

Annex 39 Acknowledgement of Receipt of Premises – Valid – Applicant p444

Annex 40 Notification of Premises – Third Parties p447

Annex 41 Notification of Non-Valid Premises p448

Annex 42 Notification of Valid Appeal p449

Annex 43 Request for an extension to the time within which to submit a notice of commencement

P452

Annex 44 Grant of Request for An Extension p454

Annex 45 Refusal of Request for An Extension p455

Annex 46 Notice of Commencement Received Outside of The Grant Period p456

Annex 47 Date in the Notice of Commencement More Than 14 Days After the Date Received

p457

Annex 48 Missing/Incorrect Information p458

Annex 49 Acknowledgement of Receipt of Notice of Commencement p459

Annex 50 Notice of Commencement Not Valid p460

Annex 51 Notification of NHS Pharmacy Contractor Code p461

Annex 52 Change to the Pharmaceutical List – Memo p462

Chapter 13

Annex 1 Application Form - Offering to meet an identified future need p463

Annex 2 Information on The Applicant p472

Annex 3 First Referral Questions p479

Annex 4 Identifying Interested Parties: Notifiable Applications p481

Annex 5 Acknowledgement of Receipt of Application p483

Annex 6 Acknowledgement of Receipt of Application and Request for Further Information

p484

Annex 7 Notification of Outcome of Review and Request for Missing Information p485

Annex 8 Notification of Outcome of Review and Withdrawal of Request p486

Annex 9 Acknowledgement of Receipt of Missing Information p487

Annex 10 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p488

Annex 11 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p489

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Annex 12 Acknowledgement of Receipt of Missing Undertakings p490

Annex 13 Confirmation of Non-receipt of Missing Undertakings and Notification of Application Withdrawn

p491

Annex 14 Notification of Decision to Defer on Non-fitness Grounds p492

Annex 15 Notification of Cessation of Deferral – Non-fitness Grounds p493

Annex 16 Notification That Best Estimate is Unacceptable p494

Annex 17 Confirmation Second Best Estimate Acceptable p495

Annex 18 Notification of Application to Interested Parties p496

Annex 19 Request for Payment p498

Annex 20 Circulation of Comments on Application p499

Annex 21 Notification That Payment Has Not Cleared and Application is Withdrawn

p500

Annex 22 Notification of Oral Hearing – Applicant p501

Annex 23 Notification of Oral Hearing – Additional Presenters p502

Annex 24 Committee Report p503

Annex 25 Granted (Address Known) – Applicant p507

Annex 26 Acceptance of Regulation 66(5) Condition p510

Annex 27 Granted (Address Known) – Third Party with No Appeal Rights p511

Annex 28 Granted (Address Known) – Third Party with Appeal Rights p512

Annex 29 Granted (Best Estimate) – Applicant p513

Annex 30 Granted (Best Estimate) – Third Party Without Appeal Rights p516

Annex 31 Granted (Best Estimate) – Third Party with Appeal Rights p517

Annex 32 Notification of Refusal of Application – Applicant p518

Annex 33 Notification of Refusal of Application – Third Party p519

Annex 34 Notification That Secretary of State Grants Application p520

Annex 35 Notification That Secretary of State Grants Application p523

Annex 36 Confirmation of No Appeal (Address Known) p526

Annex 37 Confirmation of No Appeal (Best Estimate) p527

Annex 38 Notification of Receipt of Premises – Not Valid p530

Annex 39 Acknowledgement of Receipt of Premises – Valid – Applicant p531

Annex 40 Notification of Premises – Third Parties p531

Annex 41 Notification of Non-Valid Premises p535

Annex 42 Notification of Valid Appeal p536

Annex 43 Request for an extension to the time within which to submit a notice of commencement

p539

Annex 44 Grant of Request for An Extension p541

Annex 45 Refusal of Request for An Extension p542

Annex 46 Notice of Commencement Received Outside of The Grant Period p543

Annex 47 Date in the Notice of Commencement more than 14 days after the date received

p544

Annex 48 Missing/Incorrect Information p545

Annex 49 Acknowledgement of Receipt of Notice of Commencement p546

Annex 50 Notice of Commencement Not Valid p547

Annex 51 Notification of NHS Pharmacy Contractor Code p548

Annex 52 Change to Pharmaceutical List – Memo p549

Chapter 14

Annex 1 Application Form - Identified improvements or better access p550

Annex 2 Information to be included in all routine and accepted application for inclusion in a pharmaceutical list

p559

Annex 3 First Referral Questions p566

Annex 4 Identifying Interested Parties: Notifiable Applications p568

Annex 5 Acknowledgement of Receipt of Application p570

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Annex 6 Acknowledgement of Receipt of Application and Request for Further Information

p571

Annex 7 Notification of Outcome of Review and Request for Missing Information p572

Annex 8 Notification of Outcome of Review and Withdrawal of Request p573

Annex 9 Acknowledgement of Receipt of Missing Information p574

Annex 10 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p575

Annex 11 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p576

Annex 12 Acknowledgement of Receipt of Missing Undertakings p577

Annex 13 Confirmation of Non-receipt of Missing Undertakings and Notification of Application Withdrawn

p578

Annex 14 Notification of Decision to Defer on Non-fitness Grounds p579

Annex 15 Notification of Cessation of Deferral – Non-fitness Grounds p580

Annex 16 Notification That Best Estimate Is Unacceptable p581

Annex 17 Confirmation Second Best Estimate Acceptable p582

Annex 18 Notification of Application to interested Parties p583

Annex 19 Request for Payment p585

Annex 20 Circulation of Comments of Application p586

Annex 21 Notification That Payment Has Not Cleared and Application Is Withdrawn

p587

Annex 22 Notification of Oral Hearing – Applicant p588

Annex 23 Notification of Oral Hearing – Additional Presenters p589

Annex 24 Committee Report p590

Annex 25 Granted (Address Known) – Applicant p594

Annex 26 Acceptance of Regulation 66(5) Condition p597

Annex 27 Granted (Address Known) – Third Party with No Appeal Rights p598

Annex 28 Granted (Address Known) – Third Party with Appeal Rights p599

Annex 29 Granted (Best Estimate) – Applicant p600

Annex 30 Granted (Best Estimate) – Third Party Without Appeal Rights p604

Annex 31 Granted (Best Estimate) – Third Party with Appeal Rights p604

Annex 32 Notification of Refusal of Application – Applicant p605

Annex 33 Notification of Refusal of Application – Third Party p606

Annex 34 Notification That Secretary of State Grants Application p607

Annex 35 Notification That Secretary of State Grants Application p610

Annex 36 Confirmation of No Appeal (Address Known) p613

Annex 37 Confirmation of No Appeal (Best Estimate) p614

Annex 38 Notification of Receipt of Premises – Not Valid p617

Annex 39 Acknowledgement of Receipt of Premises – Valid – Applicant p618

Annex 40 Notification of Premises – Third Parties p621

Annex 41 Notification of Non-Valid Premises p622

Annex 42 Notification of Valid Appeal p623

Annex 43 Request for an extension to the time within which to submit a notice of commencement

p626

Annex 44 Grant of Request for An Extension p628

Annex 45 Refusal of Request for An Extension p629

Annex 46 Notice of commencement received outside of the grant period p630

Annex 47 Date in the notice of commencement more than 14 days after the date received

p631

Annex 48 Missing/Incorrect Information p632

Annex 49 Notice of Commencement Is Valid p633

Annex 50 Notice of Commencement Not Valid p634

Annex 51 Notification of NHS Pharmacy Contractor Code p635

9

Annex 52 Change to the Pharmaceutical List – Memo p636

Chapter 15

Annex 1 Application Form – Offering Unforeseen Benefits p637

Annex 2 Information to be included in all routine and accepted applications for inclusion in the pharmaceutical list

p647

Annex 3 First Referral Questions p654

Annex 4 Identifying Interested Parties: Notifiable Applications p656

Annex 5 Acknowledgement of Receipt of Application p658

Annex 6 Acknowledgement of Receipt of Application and Receipt for Further Information

p659

Annex 7 Notification of Outcome of Review and Request for Missing Information p660

Annex 8 Notification of Outcome of Review and Withdrawal of Request p661

Annex 9 Acknowledgement of Receipt of Missing Information p662

Annex 10 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p663

Annex 11 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p664

Annex 12 Acknowledgement of Receipt of Missing Undertakings p665

Annex 13 Confirmation of Non-receipt of Missing Undertakings and Notification of Application Withdrawn

P666

Annex 14 Notification of Decision to Defer on Non-fitness Grounds p667

Annex 15 Notification of Cessation of Deferral – Non-fitness Grounds p668

Annex 16 Notification That Best Estimate is Unacceptable p669

Annex 17 Confirmation Second Best Estimate Acceptable p670

Annex 18 Notification of Application to Interested Parties p671

Annex 19 Request for Payment p673

Annex 20 Circulation of Comments on Application p674

Annex 21 Notification That Payment Has Not Cleared and Application Is Withdrawn

p675

Annex 22 Notification of Oral Hearing – Applicant p676

Annex 23 Notification of Oral Hearing – Additional Presenters p677

Annex 24 Committee Report p678

Annex 25 Granted (Address Known) – Applicant p682

Annex 26 Acceptance Regulation 66(5) Condition p685

Annex 27 Granted (Address Known) – Third Party with No Appeal Rights p686

Annex 28 Granted (Address Known) – Third Party with Appeal Rights p687

Annex 29 Granted (Best Estimate) – Applicant p688

Annex 30 Granted (Best Estimate) – Third Party Without Appeal Rights p691

Annex 31 Granted (Best Estimate) – Third Party with Appeal Rights p692

Annex 32 Notification of Refusal of Application – Applicant p693

Annex 33 Notification of Refusal of Application – Third Party p694

Annex 34 Notification That Secretary of State Grants Application p695

Annex 36 Notification That Secretary of State Grants Application p698

Annex 36 Confirmation of No Appeal (Address Known) p701

Annex 37 Confirmation of No Appeal (Best Estimate) p702

Annex 38 Notification of Receipt of Premises – Not Valid p705

Annex 39 Acknowledgement of Receipt of Premises – Valid -Applicant p706

Annex 40 Notification of Premises – Third Parties p709

Annex 41 Notification of Non-Valid Premises p710

Annex 42 Notification of Valid Appeal p711

Annex 43 Request for an extension to the time within which to submit a notice of commencement

p714

10

Annex 44 Grant of Request for An Extension p716

Annex 45 Refusal of Request for An Extension p717

Annex 46 Notice of Commencement Received Outside of The Grant Period p718

Annex 47 Date in the notice of commencement more than 14 days after the date received

p719

Annex 48 Missing/Incorrect Information p720

Annex 49 Acknowledgement of Receipt of Notice of Commencement p721

Annex 50 Notice of Commencement Not Valid p722

Annex 51 Notification of NHS Pharmacy Contractor Code p723

Annex 52 Change to the Pharmaceutical List - Memo p724

Chapter 16

Annex 1 Application Form – Identified future improvements or better access p725

Annex 2 Information to be included in all routine accepted applications for inclusion in a pharmaceutical list

p734

Annex 3 First Referral Questions p741

Annex 4 Identifying Interested Parties: Notifiable Applications p743

Annex 5 Acknowledgement of Receipt of Application p745

Annex 6 Acknowledgement of Receipt of Application and Request for Further Information

p746

Annex 7 Notification of Outcome of Review and Request for Missing Information

p747

Annex 8 Notification of Outcome of Review and Withdrawal of Request p748

Annex 9 Acknowledgement of Receipt of Missing Information p749

Annex 10 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p750

Annex 11 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p751

Annex 12 Acknowledgement of Receipt of Missing Undertakings p752

Annex 13 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p753

Annex 14 Notification of Decision to Defer on Non-fitness Grounds p754

Annex 15 Notification of Cessation of Deferral - Non-fitness Grounds p755

Annex 16 Notification That Best Estimate is Unacceptable p756

Annex 17 Confirmation Second Best Estimate Acceptable p757

Annex 18 Notification of Application to Interested Parties p758

Annex 19 Request for Payment p760

Annex 20 Circulation of Comments on Application p761

Annex 21 Notification That Payment Has Not Cleared and Application Withdrawn

p762

Annex 22 Notification of Oral Hearing - Applicant p763

Annex 23 Notification of Oral Hearing - Additional Presenters p764

Annex 24 Committee Report p765

Annex 25 Granted (Address Known) - Applicant p769

Annex 26 Acceptance of Regulation 66(5) Condition p772

Annex 27 Granted (Address Known) - Third Party with No Appeal Rights p773

Annex 28 Granted (Address Known) - Third Party with Appeal Rights p774

Annex 29 Granted (Best Estimate) - Applicant p775

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Annex 30 Granted (Best Estimate) - Third Party Without Appeal Rights p778

Annex 31 Granted (Best Estimate) - Third Party with Appeal Rights p779

Annex 32 Notification of Refusal of Application - Applicant p780

Annex 33 Notification of Refusal of Application - Third Party p781

Annex 34 Notification That Secretary of State Grants Application p782

Annex 35 Notification That Secretary of State Grants Application p785

Annex 36 Confirmation of No Appeal (Address Known) p788

Annex 37 Confirmation of No Appeal (Best Estimate) p789

Annex 38 Notification of Receipt of Premises – Not Valid p792

Annex 39 Acknowledgement of Receipt of Premises – Valid - Applicant p793

Annex 40 Notification of Premises – Third Parties p796

Annex 41 Notification of Non-valid Premises p797

Annex 42 Notification of Valid Appeal p798

Annex 43 Request for an extension to the time within which to submit a notice of commencement

p801

Annex 44 Grant of Request for An Extension p803

Annex 45 Refusal of Request for An Extension p804

Annex 46 Notice of commencement received outside of the grant period p805

Annex 47 Date in the notice of commencement more than 14 days after the date received

p806

Annex 48 Missing/incorrect Information p807

Annex 49 Acknowledgement of Receipt of Notice of Commencement p808

Annex 50 Notice of Commencement Not Valid p809

Annex 51 Notification of NHS Pharmacy Contractor Code p810

Annex 52 Change to the Pharmaceutical List – Memo p811

Chapter 17

Annex 1 Application Form – Same HWB p812

Annex 2 Application Form – Neighbouring HWB p827

Annex 3 Fitness Information Form p844

Annex 4 First Referral Questions p851

Annex 5 Identifying Interested Parties: Notifiable Applications p852

Annex 6 Acknowledgement of Receipt of Application p854

Annex 7 Acknowledgment of Receipt of Application and Request for Further Information

p855

Annex 8 Notification of Outcome of Review and Request for Missing Information

p856

Annex 9 Notification of Outcome of Review and Withdrawal of Request p857

Annex 10 Acknowledgement of Receipt of Missing Information p858

Annex 11 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p859

Annex 12 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p860

Annex 13 Acknowledgement of Receipt of Missing Undertakings p861

Annex 14 Confirmation of Non-receipt of Missing Undertakings and Notification of Application Withdrawn

p862

Annex 15 Notification of Application to Interested Parties p863

Annex 16 Request for Payment p865

12

Annex 17 Circulation of Comments on Application p866

Annex 18 Notification that Payment has not Cleared and Application is Withdrawn

p867

Annex 19 Notification of Oral Hearing - Applicant p868

Annex 20 Notification of Oral Hearing – Additional Presenters p869

Annex 21 Committee Report p870

Annex 22 Application Granted - Applicant p873

Annex 23 Acceptance of Regulation 66(5) Condition p876

Annex 24 Granted – Third Party with No Appeal Rights p877

Annex 25 Granted – Third Party with Appeal Rights p878

Annex 26 Notification of Refusal of Application - Applicant p879

Annex 27 Notification of Refusal of Application – Third Party p880

Annex 28 Notification that Secretary of State Grants Application p881

Annex 29 Confirmation of No Appeal p884

Annex 30 Request for an extension to the time within which to submit a notice of commencement

p887

Annex 31 Grant of Request for An Extension p889

Annex 32 Refusal of Request for An Extension p890

Annex 33 Notice of Commencement Received Outside of The Grant Period p891

Annex 34 Date in the notice of commencement more than 14 days after the date received

p892

Annex 35 Missing/Incorrect Information p893

Annex 36 Acknowledgement of Receipt of Notice of Commencement p894

Annex 37 Notice of Commencement Not Valid p895

Annex 38 Change to the Pharmaceutical List – Memo p896

Chapter 18

Annex 1 Application Form – In Respect of Distance Selling Premises p897

Annex 2 Information to be included in all routine and accepted applications for inclusion in a pharmaceutical list

p907

Annex 3 First Referral Questions p914

Annex 4 Identifying Interested Parties: Notifiable Applications p915

Annex 5 Acknowledgement of Receipt of Application p917

Annex 6 Acknowledgment of Receipt of Application and Request for Further Information

p918

Annex 7 Notification of Outcome of Review and Request for Missing Information

p919

Annex 8 Notification of Outcome of Review and Withdrawal of Request p920

Annex 9 Acknowledgement of Receipt of Missing Information p921

Annex 10 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p922

Annex 11 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p923

Annex 12 Acknowledgement of Receipt of Missing Undertakings p924

Annex 13 Confirmation of Non-receipt of Missing Undertakings and Notification of Application Withdrawn

p925

Annex 14 Notification of Application to Interested Parties p926

Annex 15 Request for Payment p928

Annex 16 Circulation of Comments on Application p929

13

Annex 17 Notification that Payment Has Not Cleared and Application Is Withdrawn

p930

Annex 18 Notification of Oral Hearing - Applicant p931

Annex 19 Notification of Oral Hearing – Additional Presenters p932

Annex 20 Committee Report p933

Annex 21 Application Granted - Applicant p936

Annex 22 Granted – Third Party with No Appeal Rights p940

Annex 23 Granted – Third Party with Appeal Rights p941

Annex 24 Notification of Refusal of Application - Applicant p942

Annex 25 Notification of Refusal of Application – Third Party p943

Annex 26 Notification that Secretary of State Grants Application p944

Annex 27 Confirmation of No Appeal p947

Annex 28 Request for an extension to the time within which to submit a notice of commencement

p948

Annex 29 Grant of Request for An Extension p950

Annex 30 Refusal of Request for An Extension p951

Annex 31 Notice of Commencement Received Outside of the Grant Period p952

Annex 32 Date in the notice of commencement more than 14 days after the date received

p953

Annex 33 Missing/Incorrect Information p954

Annex 34 Acknowledgement of Receipt of Notice of Commencement p955

Annex 35 Notice of Commencement Not Valid p957

Annex 36 Notification of NHS Pharmacy Contractor Code p958

Annex 37 Change to the Pharmaceutical List – Memo p959

Chapter 19

Annex 1 Application Form – In respect of a change of ownership p960

Annex 2 Information to be included in all routine and accepted applications for inclusion in a pharmaceutical list

p972

Annex 3 First Referral Questions p979

Annex 4 Acknowledgement of Receipt of Application p980

Annex 5 Acknowledgment of Receipt of Application and Request for Further Information

p981

Annex 6 Notification of Outcome of Review and Request for Missing Information

p982

Annex 7 Notification of Outcome of Review and Withdrawal of Request p983

Annex 8 Acknowledgement of Receipt of Missing Information p984

Annex 9 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p985

Annex 10 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p986

Annex 11 Acknowledgement of Receipt of Missing Undertakings p987

Annex 12 Confirmation of Non-receipt of Missing Undertakings and Notification of Application Withdrawn

p988

Annex 13 Request for Payment p989

Annex 14 Notification that Payment Has Not Cleared and Application Is Withdrawn

p990

Annex 15 Report p991

14

Annex 16 Application Granted - Applicant p993

Annex 17 Acceptance of Regulation 66(5) Condition p996

Annex 18 Granted – Third Party with No Appeal Rights p997

Annex 19 Granted – Third Party with Appeal Rights p998

Annex 20 Notification of Refusal of Application - Applicant p999

Annex 21 Notification of Refusal of Application – Third Party p1000

Annex 22 Notification that Secretary of State Grants Application p1001

Annex 23 Confirmation of No Appeal p1004

Annex 24 Request for an extension to the time within which to submit a notice of commencement

p1005

Annex 25 Grant of Request for An Extension p1007

Annex 26 Refusal of Request for An Extension p1008

Annex 27 Notice of Commencement Received Outside of the Grant Period p1009

Annex 28 Date in the notice of commencement more than 14 days after the date received

p1010

Annex 29 Missing/Incorrect Information p1011

Annex 30 Acknowledgement of Receipt of Notice of Commencement p1012

Annex 31 Removal from Pharmaceutical List following Change of Ownership Application

p1013

Annex 32 Notice of Commencement Not Valid p1014

Annex 33 Notification of NHS Pharmacy Contractor Code p1015

Annex 34 Change to the Pharmaceutical List – Memo p1016

Chapter 20

Annex 1 Application Form – Consolidation onto an existing site p1017

Annex 2 Information to be included in all routine and accepted applications for inclusion in a pharmaceutical list

p1027

Annex 3 First Referral Questions p1034

Annex 4 Identifying Interested Parties: Notifiable Applications p1035

Annex 5 Acknowledgement of Receipt of Application p1037

Annex 6 Preliminary Refusal - Dispensing Appliance Premises or Distance Selling Premises

p1038

Annex 7 Acknowledgment of Receipt of Application and Request for Further Information

p1039

Annex 8 Notification of Outcome of Review and Request for Missing Information

p1040

Annex 9 Notification of Outcome of Review and Withdrawal of Request p1041

Annex 10 Acknowledgement of Receipt of Missing Information p1042

Annex 11 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p1043

Annex 12 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p1044

Annex 13 Acknowledgement of Receipt of Application and Request for Undertakings regarding Enhanced Services

p1045

Annex 14 Acknowledgement of Receipt of Missing Undertakings p1047

Annex 15 Confirmation of Non-receipt of Missing Undertakings and Notification of Application Withdrawn

p1048

Annex 16 Notification of Application to Interested Parties p1049

Annex 17 Notification of Application to Health & Wellbeing Board p1051

Annex 18 Second Notification of Application to Health & Wellbeing Board p1052

15

Annex 19 Third Notification of Application to Health & Wellbeing Board p1053

Annex 20 Final Notification of Application to Health & Wellbeing Board p1054

Annex 21 Clarification to Health & Wellbeing Board p1055

Annex 22 Request for Payment p1056

Annex 23 Circulation of Comments on Application p1057

Annex 24 Circulation of comments on application from HWB (following late receipt)

p1058

Annex 25 Notification that Payment Has Not Cleared and Application Is Withdrawn

p1059

Annex 26 Notification of Oral Hearing - Applicant p1060

Annex 27 Notification of Oral Hearing – Additional Presenters p1061

Annex 28 Report p1062

Annex 29 Application Granted - Applicant p1064

Annex 30 Acceptance of Regulation 66(5) Condition p1068

Annex 31 Granted – Third Party with No Appeal Rights p1069

Annex 32 Granted – Third Party with Appeal Rights p1070

Annex 33 Notification of Refusal of Application - Applicant p1071

Annex 34 Notification of Refusal of Application – Third Party p1072

Annex 35 Notification that Secretary of State Grants Application p1073

Annex 36 Confirmation of No Appeal p1077

Annex 37 Request for an extension to the time within which to submit a notice of consolidation

p1078

Annex 38 Grant of Request for An Extension p1080

Annex 39 Refusal of Request for An Extension p1081

Annex 40 Notice of Consolidation Received Outside of the Grant Period p1082

Annex 41 Date in the notice of consolidation more than 14 days after the date received

p1083

Annex 42 Missing/Incorrect Information p1084

Annex 43 Acknowledgement of Receipt of Notice of Consolidation p1085

Annex 44 Notice of Commencement Not Valid p1086

Annex 45 Removal from Pharmaceutical List following Consolidation Application p1087

Annex 46 Change to the Pharmaceutical List – Memo p1088

Chapter 21

Annex 1 Application Form – Change of ownership and relocation within a HWB area that does not result in significant change to pharmaceutical services provision

p1089

Annex 2 Application Form – Change of ownership and relocation to a neighbouring HWB that does not result in significant change to pharmaceutical services provision

p1107

Annex 3 Information to be included in all routine and accepted applications for inclusion in a pharmaceutical list

p1125

Annex 4 First Referral Questions p1132

16

Annex 5 Identifying Interested Parties: Notifiable Applications p1133

Annex 6 Acknowledgement of Receipt of Application p1135

Annex 7 Acknowledgment of Receipt of Application and Request for Further Information

p1136

Annex 8 Notification of Outcome of Review and Request for Missing Information

p1137

Annex 9 Notification of Outcome of Review and Withdrawal of Request p1138

Annex 10 Acknowledgement of Receipt of Missing Information p1139

Annex 11 Confirmation of Non-receipt of Missing Information and Withdrawal of Application

p1140

Annex 12 Acknowledgement of Receipt of Application and Request for Missing Undertakings

p1141

Annex 13 Acknowledgement of Receipt of Missing Undertakings p1142

Annex 14 Confirmation of Non-receipt of Missing Undertakings and Notification of Application Withdrawn

p1143

Annex 15 Notification of Application to Interested Parties p1144

Annex 16 Request for Payment p1146

Annex 17 Circulation of Comments on Application p1147

Annex 18 Notification that Payment has not Cleared and Application is Withdrawn

p1148

Annex 19 Notification of Oral Hearing - Applicant p1149

Annex 20 Notification of Oral Hearing – Additional Presenters p1150

Annex 21 Committee Report p1151

Annex 22 Application Granted - Applicant p1154

Annex 23 Acceptance of Regulation 66(5) Condition p1157

Annex 24 Granted – Third Party with No Appeal Rights p1158

Annex 25 Granted – Third Party with Appeal Rights p1159

Annex 26 Notification of Refusal of Application - Applicant p1160

Annex 27 Notification of Refusal of Application – Third Party p1161

Annex 28 Notification that Secretary of State Grants Application p1162

Annex 29 Confirmation of No Appeal p1165

Annex 30 Request for an extension to the time within which to submit a notice of commencement

p1166

Annex 31 Grant of Request for An Extension p1168

Annex 32 Refusal of Request for An Extension p1169

Annex 33 Notice of Commencement Received Outside of the Grant Period p1170

Annex 34 Date in the notice of commencement more than 14 days after the date received

p1171

Annex 35 Missing/Incorrect Information p1172

Annex 36 Acknowledgement of Receipt of Notice of Commencement p1173

Annex 37 Removal from Pharmaceutical List following Combined Change of Ownership Application and No Significant Change Relocation

p1174

Annex 38 Notice of Commencement Not Valid p1175

17

Annex 39 Notification of NHS Pharmacy Contractor Code p1176

Annex 40 Change to the Pharmaceutical List – Memo p1177

Chapter 22

Annex 1 Notification of Decision to Defer p1178

Annex 2 Acknowledgement to Applicant – not in a Controlled Locality p1179

Annex 3 Acknowledgement to Applicant – in a Controlled Locality p1180

Annex 4 Acknowledgement to Applicant – Controlled Locality and Regulation 40(2) Applicable

p1181

Annex 5 Notification that Regulation 40(2) Not Applicable p1182

Annex 6 Refusal Under Regulation 40(2) p1183

Annex 7 Outcome of Appeal p1184

Annex 8 Notification of Application to Interested Parties – in a Controlled Locality

p1185

Annex 9 Notification of Application to Interested Parties – Near a Controlled Locality

p1188

Chapter 23

Annex 1 Outline Consent and Premises Approval Application Form p1191

Annex 2 First Referral Questions – outline consent and premises approval application

p1193

Annex 3 Identifying Interested Parties: Notifiable Applications p1194

Annex 4 Request for Further Information p1196

Annex 5 Acknowledgement of Receipt of Application p1197

Annex 6 Controlled Locality Determination p1198

Annex 7 Cessation of Deferral p1199

Annex 8 Notification of Application p1200

Annex 9 Representations p1203

Annex 10 Committee Report p1204

Annex 11 Granted – Applicant p1206

Annex 12 Granted – Interested Parties with no Appeal Rights p1207

Annex 13 Granted – Interested Parties with Appeal Rights p1208

Annex 14 Refused – Applicant p1209

Annex 15 Refused – Interested Parties p1210

Annex 16 Taking Effect – No Outstanding Applications p1211

Annex 17 Notification of Grant of an Application for Outline Consent and Premises Approval

p1212

Annex 18 Outstanding Application p1213

Annex 19 Confirmation of Determination Request Date p1214

Annex 20 Confirmation of Taking Effect p1215

Annex 21 Lapse of Application p1216

Annex 22 Relocation of Practice Premises Before Outline Consent Takes Effect Application Form

p1217

18

Annex 23 First Referral Questions – relocation before outline consent takes effect

p1219

Annex 24 Identifying Interested Parties: Notifiable Applications p1220

Annex 25 Notification of Relocation Application p1222

Annex 26 Representations on Relocation Application p1225

Annex 27 Committee Report – Relocation before Outline Consent Takes Effect p1226

Annex 28 Granted – Applicant p1228

Annex 29 Granted – Interested Parties with no Appeal Rights p1229

Annex 30 Granted – Interested Parties with Appeal Rights p1230

Annex 31 Refused - Applicant p1231

Annex 32 Refused – Interested Parties p1232

Annex 33 Taking Effect – No Outstanding Applications p1233

Annex 34 Notification of Grant of an Application for Relocation of Premises Approval Before Outline Consent Takes Effect

p1234

Annex 35 Outstanding Application p1235

Annex 36 Confirmation of Final Outcome p1236

Annex 37 Lapse of Grant p1237

Annex 38 Taking Effect of Grant p1238

Annex 39 Relocation of Practice Premises After Outline Consent Takes Effect Application Form

p1239

Annex 40 First Referral Questions – relocation after outline consent takes effect p1241

Annex 41 Identifying Interested Parties: Notifiable Applications p1242

Annex 42 Notification of Relocation Application – After Outline Consent p1244

Annex 43 Representations p1247

Annex 44 Committee Report – Relocation after Outline Consent Takes Effect p1248

Annex 45 Granted – Applicant p1250

Annex 46 Granted – Interested Parties with No Appeal Rights p1251

Annex 47 Granted – Interested Parties with Appeal Rights p1252

Annex 48 Refused – Applicant p1253

Annex 49 Refused – Interested Parties p1254

Annex 50 Taking Effect p1255

Annex 51 Notification of Grant of an Application for Relocation of Premises Approval After Outline Consent Takes Effect

p1256

Annex 52 Outstanding Application p1257

Annex 53 Final Outcome p1258

Annex 54 Lapse of Location p1259

Annex 55 Taking Effect p1260

Chapter 24

Annex 1 Application Form - Offering to provide additional directed services p1261

Annex 2 Information to be included in all routine and accepted applications for inclusion in a pharmaceutical list

p1266

19

Annex 3 First Referral Questions p1273

Annex 4 Acknowledgment of Receipt of Application p1274

Annex 5 Acknowledgment of Receipt of Application and Request for Missing Information

p1275

Annex 6 Notification of Outcome of Review and Request for Missing Information

p1276

Annex 7 Notification of Outcome of Review and Withdrawal of Request p1277

Annex 8 Acknowledgment of Receipt of Missing Information p1278

Annex 9 Confirmation of Non-Receipt of Missing Information and Withdrawal of Application

p1279

Annex 10 Acknowledgment of Receipt of Application and Request for Missing Undertakings

p1280

Annex 11 Acknowledgment of Receipt of Missing Undertakings p1281

Annex 12 Confirmation of Non-Receipt of Missing Undertakings and Withdrawal of Application

p1282

Annex 13 Request for Payment p1283

Annex 14 Payment Not Received - Application Withdrawn p1284

Annex 15 Committee Report p1285

Annex 16 Notification of Grant of Application p1286

Annex 17 Notification of Refusal of Application - Applicant p1289

Annex 18 Notification that Secretary of State Grants Application p1290

Annex 19 Confirmation of No Appeal p1293

Annex 20 Request for an extension to the time within which to submit a notice of commencement

p1294

Annex 21 Grant of Request for An Extension p1296

Annex 22 Refusal of Request for An Extension p1297

Annex 23 Notice of Commencement Received Outside of the Grant Period p1298

Annex 24 Date in the notice of commencement more than 14 days after the date received

p1299

Annex 25 Missing/Incorrect Information p1300

Annex 26 Inclusion in Pharmaceutical List p1301

Annex 27 Notice of Commencement Not Valid p1302

Annex 28 Change to the Pharmaceutical List – Memo p1303

Chapter 25

Annex 1 Application Form – Temporary listing arising out of a suspension p1304

Annex 2 Information to be included in all routine and accepted applications for inclusion in a pharmaceutical list

p1313

Annex 3 First Referral Questions p1320

Annex 4 Acknowledgment of Receipt of Application p1321

Annex 5 Acknowledgment of Receipt of Application and Request for Missing Information

p1322

Annex 6 Notification of Outcome of Review and Withdrawal of Request p1323

Annex 7 Notification of Outcome of Review and Request for Missing Information

p1324

Annex 8 Acknowledgment of Receipt of Missing Information p1325

Annex 9 Confirmation of Non-Receipt of Missing Information and Withdrawal of Application

p1326

20

Annex 10 Acknowledgment of Receipt of Application and Request for Missing Undertakings

p1327

Annex 11 Acknowledgment of Receipt of Missing Undertakings p1328

Annex 12 Confirmation of Non-Receipt of Missing Undertakings and Withdrawal of Application

p1329

Annex 13 Committee Report p1330

Annex 14 Granted – Applicant p1332

Annex 15 Acceptance of Regulation 66(5) Condition p1335

Annex 16 Granted – Third Party with No Appeal Rights p1336

Annex 17 Granted – Third Party with Appeal Rights p1337

Annex 18 Refused - Applicant p1338

Annex 19 Refused – Third Party p1339

Annex 20 Notice of Commencement following Appeal p1340

Annex 21 Confirmation of No Appeal p1343

Annex 22 Request for an extension to the time within which to submit a notice of commencement

p1344

Annex 23 Grant of Request for An Extension p1346

Annex 24 Refusal of Request for An Extension p1347

Annex 25 Notice of Commencement Received Outside of the Grant Period p1348

Annex 26 Date in the notice of commencement more than 14 days after the date received

p1349

Annex 27 Missing/Incorrect Information p1350

Annex 28 Confirmation of Receipt of Notice of Commencement p1351

Annex 29 Notice of Commencement Not Valid p1352

Annex 30 Notification of NHS Pharmacy Contractor Code p1353

Annex 31 Change to the Pharmaceutical List – Memo p1354

Annex 32 Notification of Removal from the Relevant Pharmaceutical List p1355

Annex 33 Change to the Pharmaceutical List – Memo p1356

Chapter 26

Annex 1 Application Form - Exercising a right of return to the pharmaceutical list

p1357

Annex 2 Information to be included in all routine and accepted applications for inclusion in a pharmaceutical list

p1364

Annex 3 First Referral Questions p1371

Annex 4 Acknowledgement of Receipt of Application p1372

Annex 5 Acknowledgment of Receipt of Application and Request for Missing Information

p1373

Annex 6 Notification of Outcome of Review and Withdrawal of Request p1374

Annex 7 Notification of Outcome of Review and Request for Missing Information

p1375

Annex 8 Acknowledgment of Receipt of Missing Information p1376

Annex 9 Confirmation of Non-Receipt of Missing Information and Withdrawal of Application

p1377

Annex 10 Acknowledgment of Receipt of Application and Request for Missing Undertakings

p1378

Annex 11 Acknowledgment of Receipt of Missing Undertakings p1379

Annex 12 Confirmation of Non-Receipt of Missing Undertakings and Withdrawal of Application

p1380

Annex 13 Report p1381

Annex 14 Granted – Applicant p1383

Annex 15 Acceptance of Regulation 66(5) Condition p1386

21

Annex 16 Granted – Third Parties with No Appeal Rights p1387

Annex 17 Granted – Third Parties with Appeal Rights p1388

Annex 18 Refused – Applicant p1389

Annex 19 Refused – Third Parties p1390

Annex 20 Notice of Commencement Following Appeal p1391

Annex 21 Confirmation of No Appeal p1394

Annex 22 Request for an extension to the time within which to submit a notice of commencement

p1394

Annex 23 Grant of Request for An Extension p1397

Annex 24 Refusal of Request for An Extension p1398

Annex 25 Notice of Commencement Received Outside of the Grant Period p1399

Annex 26 Date in the notice of commencement more than 14 days after the date received

p1400

Annex 27 Missing/Incorrect Information p1401

Annex 28 Confirmation of Receipt of Notice of Commencement p1402

Annex 29 Notice of Commencement Not Valid p1403

Annex 30 Notification of NHS Pharmacy Contractor Code p1404

Annex 31 Change to the Pharmaceutical List – Memo p1405

Chapter 27

Annex 1 Application Form - Temporary amendment to a pharmaceutical list p1406

Annex 2 Information to be included in all routine and accepted applications for inclusion in a pharmaceutical list

p1416

Annex 3 First Referral Questions p1423

Annex 4 Acknowledgement of Receipt of Application p1424

Annex 5 Acknowledgment of Receipt of Application and Request for Missing Information

p1425

Annex 6 Notification of Outcome of Review and Request for Missing Information

p1426

Annex 7 Notification of Outcome of Review and Withdrawal of Request p1427

Annex 8 Acknowledgment of Receipt of Missing Information p1428

Annex 9 Confirmation of Non-Receipt of Missing Information and Withdrawal of Application

p1429

Annex 10 Acknowledgment of Receipt of Application and Request for Missing Undertakings

p1430

Annex 11 Acknowledgment of Receipt of Missing Undertakings p1431

Annex 12 Confirmation of Non-Receipt of Missing Undertakings and Withdrawal of Application

p1432

Annex 13 Committee Report for Declared Emergencies p1433

Annex 14 Committee Report for Temporary Suspension in the Provision of Pharmaceutical Services

p1435

Annex 15 Granted – Applicant p1437

Annex 16 Acceptance of Regulation 66(5) Condition p1440

Annex 17 Granted – Interested Parties p1441

Annex 18 Refused - Applicant p1442

Annex 19 Refused – Interested Parties p1443

Annex 20 Request for an extension to the time within which to submit a notice of commencement

p1444

Annex 21 Grant of Request for An Extension p1446

Annex 22 Refusal of Request for An Extension p1447

Annex 23 Notice of Commencement Received Outside of the Grant Period p1448

Annex 24 Date in the notice of commencement more than 14 days after the date received

p1449

22

Annex 25 Missing/Incorrect Information p1450

Annex 26 Confirmation of Receipt of Notice of Commencement p1451

Annex 27 Notice of Commencement Not Valid p1452

Annex 28 Change to the Pharmaceutical List – Memo p1453

Annex 29 Reminder of End of Temporary Arrangements p1454

Annex 30 Committee Report – Request for an Extension p1455

Annex 31 Request for Extension Granted - Applicant p1457

Annex 32 Request for Extension Granted – Interested Parties p1458

Annex 33 Request for Extension Refused - Applicant p1459

Annex 34 Request for Extension Refused - Interested Parties p1460

Annex 35 Reminder of End to Temporary Arrangements after Extension p1461

Annex 36 Confirmation of End of Temporary Arrangements p1462

Annex 37 Change to the Pharmaceutical List – Memo p1463

23

Part 3

Chapter 29

Annex 1 Current or future need application - premises p1464

Annex 2 Current or future need application – best estimate p1467

Annex 3 Current or future improvements or better access application - premises

p1470

Annex 4 Current or future improvements or better access application – best estimate

p1473

Annex 5 Unforeseen benefits application - premises p1476

Annex 6 Unforeseen benefits application – best estimate p1479

Annex 7 Relocation Application p1482

Annex 8 Distance Selling Premises Application p1485

Annex 9 Consolidation Applications p1488

Annex 10 Outline Consent and Premises Approval Application p1490

Annex 11 Premises Approval Relocation Application p1493

Annex 12 Combined change of ownership and relocation application p1495

Annex 13 Supplementary Questions for Applications in Controlled Localities

p1498

Annex 14 Wording for Opening Hours Direction under Regulation 65 p1500

Chapter 31

Annex 1 Considering Removal on Fitness Grounds p1501

Annex 2 Decision to Remove on Fitness Grounds p1502

Annex 3 Considering Contingent Removal on Fitness Grounds p1504

Annex 4 Decision to Contingently Remove on Fitness Grounds p1505

Annex 5 Considering Suspension on Fitness Grounds p1507

Annex 6 Decision to Suspend on Fitness Grounds p1508

Annex 7 Decision to Terminate a Suspension p1509

Annex 8 Request to Review a Suspension p1510

Annex 9 Decision on Review a Suspension p1511

Annex 10 Decision on Review a Suspension p1512

Annex 11 Request to Review Contingent Removal p1513

Annex 12 Decision to Review Contingent Removal p1514

Annex 13 Request to Review a Conditional Inclusion p1515

Annex 14 Decision to Review Conditional Inclusion p1516

Chapter 32

Annex 1 Committee Report p1517

Annex 2 Notification of No Substantial Change p1520

Annex 3 Notification to Interested Parties p1521

Annex 4 Committee Report p1522

Annex 5 Notification of Determination – Appeal Rights p1524

Annex 6 Notification of Determination to Dispensing Practices p1525

Annex 7 Determination of Determination – No Appeal Rights p1526

Annex 8 Notification to Dispensing Practices - List of Affected Patients p1527

Annex 9 Letter to Affected Patients p1528

Annex 10 Re-determination of a Reserved Location p1529

Annex 11 Identifying Interested Parties: Reserved Location Re-determinations p1530

Annex 12 Committee Report p1532

24

Annex 13 Notification of Determination – Appeal Rights p1534

Annex 14 Notification of Determination to Dispensing Practices p1535

Annex 15 Determination of Determination – No Appeal Rights p1536

Annex 16 Letter to Dispensing Practices – List of Affected Patients p1537

Annex 17 Letter to Affected Patients p1538

Annex 18 Notification of Opening to Dispensing Practices p1539

Annex 19 Letter to Affected Patients p1540

Annex 20 Letter to Dispensing Practices – Pharmacy Opening Date p1541

Annex 21 Letter to Affected Patients p1542

Chapter 33

Annex 1 Serious Difficulty Application Form p1543

Annex 2 Serious Difficulty Decision Letter p1546

Annex 3 Letter to Practices re: 1.6km p1549

Annex 4 Letter to Practices re: 1.6km – List of Patients to be Removed p1550

Annex 5 Letter to Practices re: Controlled Locality p1551

Annex 6 Letter to Practices re: Controlled Locality – List of Patients to be Removed

p1552

Chapter 36

Annex 1 Notification of Opening Hours on Bank and Public Holidays p1553

Annex 2 Application to Change Core Opening Hours p1555

Annex 3 Request for Further Information p1557

Annex 4 Acknowledgement of Receipt of Application p1558

Annex 5 Consultation with the LPC p1559

Annex 6 Wording for Opening Hours Directions p1560

Annex 7 Notification of Changes to Supplementary Opening Hours p1562

Annex 8 Clarification of Supplementary Opening Hours p1565

Annex 9 Confirmation of Date of Supplementary Opening Hours Change p1566

Annex 10 Confirmation of Date of Supplementary Opening Hours Change – Increase/Reduction

p1567

Annex 11 Consultation with the LPC p1568

Annex 12 Invitation to Submit Representations on Change to Core Opening Hours

p1569

Annex 13 Notification of Decision on Change to Core Opening Hours p1570

Annex 14 Notification of Unplanned Temporary Suspension of Services p1571

Annex 15 Request for a Planned Temporary Suspension of Services p1573

Annex 16 Refusal of Request for Temporary Suspension of Services p1575

Annex 17 Request for Further Information p1576

Annex 18 Determination of Request for Temporary Suspension of Services p1577

Chapter 37

Annex 1 Email to Be Sent to All Contractors p1578

Annex 2 Email to Contractor Advising of Full CPAF Completion p1580

Annex 3 Letter Acknowledging CPAF – No visit p1581

Annex 4 Letter Acknowledging CPAF – Visit p1582

Annex 5 Letter Confirming Visit p1583

Annex 6 Letter and Visit Report p1584

Annex 7 Acknowledgement of Some Actions Completed p1587

Annex 8 Acknowledgement of All Actions Completed p1588

Annex 9 No Notification Received p1589

Annex 10 Good Cause p1590

Annex 11 No Good Cause p1591

25

Annex 12 Template Breach Notice p1592

Annex 13 Template Remedial Notice p1593

Annex 14 Claim Refused p1595

Annex 15 Notification of Decision - Removal p1596

Annex 16 Notification of Decision – No Removal p1597

Annex 17 Outcome of Appeal – Decision Upheld p1598

Chapter 38

Annex 1 Closure of Premises Notification p1599

Annex 2 Acknowledgement of Closure Notice p1601

Annex 3 Notification of Closure Memo p1603

Annex 4 Confirmation of Closure Memo p1604

Annex 5 Confirmation of Removal of Premises p1605

Annex 6 No/Short Period Notice Given p1606

Annex 7 Discovered Closure p1607

Annex 8 Discovered Closure – Cannot Contact Contractor p1608

Chapter 40

Annex 1 Fitness Information Form p1609

Annex 2 Rejection of Proposal p1623

Annex 3 Confirmation of Receipt p1624

Annex 4 Consideration of Whether to Select Proposal for Development p1625

Annex 5 Requesting Comments from Interested Parties p1629

Annex 6 Committee Report p1630

Annex 7 Proposal Selected for Development – Proposer p1633

Annex 8 Proposal Selected for Development - Third Parties p1634

Annex 9 Proposal Not Selected for Development - Proposer p1635

Annex 10 Committee Report p1636

Annex 11 Proposal Adopted - Proposer p1639

Annex 12 Proposal Not Adopted - Proposer p1640