Sch 11 para 4
(1) This paragraph applies if NHS England proposes to make a pilot scheme but has not determined who the participants, or who all of the participants, will be. (2) NHS England may apply to the Secretary of State for preliminary approval to be given to its proposals. (3) If such an application is made, the Secretary of State must— (a) give preliminary approval to the proposals as submitted, (b) make such modifications as he considers appropriate and give preliminary approval to them as modified, or (c) reject them. (4) If NHS England is given preliminary approval, it must take such steps, with a view to obtaining final approval for the proposed pilot scheme, as the Secretary of State may direct. (5) The fact that the Secretary of State has given preliminary approval to proposals for a pilot scheme does not affect his right to refuse to approve the completed proposals when they are submitted under paragraph 2. (6) Sub-paragraphs (3) to (6) of paragraph 2 apply in relation to an application for preliminary approval of proposals under this paragraph as they apply in relation to proposals under that paragraph.