(1) This regulation applies if—
(a) a Primary Care Trust has made or is to make arrangements under section 242(1B) of the Act which secure that users of health services are involved in a particular matter (the “relevant matter”); and
(b) the users of health services who would otherwise be involved in the relevant matter under those arrangements (the “relevant persons”) are to be involved in that matter under arrangements made or to be made by a relevant Strategic Health Authority.
(2) Subject to paragraph (3), where this regulation applies, the Strategic Health Authority may direct the Primary Care Trust that persons who would otherwise be involved in the relevant matter under arrangements made or to be made by that Trust under section 242(1B) of the Act are not to be involved in that matter under those arrangements.
(3) A Strategic Health Authority may give a direction under paragraph (2) only if the arrangements made or to be made by that Authority—
(a) are, in the opinion of that Authority, more appropriate for securing the efficient and effective involvement of the relevant persons in the relevant matter than any arrangements made or to be made under section 242(1B) of the Act by the Primary Care Trust; and
(b) would, if made by the Primary Care Trust, satisfy the duty on that Trust under section 242(1B) of the Act in relation to the involvement of the relevant persons in the relevant matter.
(4) A direction given under paragraph (2) must—
(a) be given in writing; and
(b) specify the relevant matter to which the direction relates.
(5) A direction under paragraph (2) may be given where the involvement of the relevant persons in the relevant matter under arrangements made by the Primary Care Trust has already begun.
(6) Where a direction is given in the circumstances specified in paragraph (5), the direction may specify—
(a) the aspects, if any, of involvement under those arrangements the Primary Care Trust is to complete;
(b) the arrangements to be made for ending involvement under those arrangements;
(c) that the relevant persons are to be notified about the effect of the direction.