34.—(1) Subject to paragraph (2), a Primary Care Trust shall not consider under regulation 36—
(a)any application for outline consent under regulation 61 where, during the relevant period, an application made under that regulation or any corresponding provision of directions relating to dispensing services in respect of the same area has been finally refused;
(b)any application to which regulation 40 applies, where the location of the premises at which the pharmacist intends to provide pharmaceutical services is in a controlled locality and—
(i)is in an area in respect of which an application under regulation 61 or any corresponding provision of directions relating to dispensing services was finally granted during the relevant period, or
(ii)is within 1.6 kilometres of the location of premises in respect of which an application to which regulation 22(1) or (3) applies was finally refused during the relevant period;
(c)any request by a chemist under regulation 35(5) for a determination as to whether premises are in a reserved location, where the application in relation to the premises was refused by the operation of regulation 18(2) during the relevant period; or
(d)any application by a doctor for outline consent or premises approval for premises—
(i)in respect of which outline consent or premises approval has been refused by the operation of regulation 18(2) during the relevant period, or
(ii)which are within 1.6 kilometres of such premises.
(2) A Primary Care Trust may at any time consider an application to which paragraph (1) applies where it is satisfied that, since the date of the refusal or, as the case may be, grant referred to in paragraph (1)(a) or (b), or, where there has been more than one such refusal or grant during the relevant period, the last such refusal or grant, there has been a substantial change of circumstances affecting the controlled locality.
(3) In this regulation, “relevant period” means the period of 5 years immediately preceding the making of the application.