s 4 Other revisions of NHS Constitution
(1) This section applies to any revision of the NHS Constitution made other than as a result of a 10 year review (including any such revision which revises the guiding principles). (2) Before any revision the Secretary of State must undertake appropriate consultation about the proposed revision. (3) The persons consulted must include such patients, staff, members of the public and other persons as appear to the Secretary of State to be affected by the proposed revision. (4) The guiding principles may not be revised, except in accordance with regulations made by the Secretary of State setting out the revision to be made. (5) The Secretary of State must publish the NHS Constitution after any revision.