6.—(1) A Primary Care Trust may at any time cancel a designation which it has made or varied under regulation 4.
(2) A Primary Care Trust must cancel a designation which it has made or varied—
(a)if required to do so by a direction given by the Secretary of State;
(b)if, within a period of twelve months beginning with the date of the original designation, an application for an LPS scheme that relates to the designation has not been submitted to the Primary Care Trust for approval;
(c)if the only (or only remaining) application for an LPS scheme that relates to the designation has been rejected; or
(d)if there is a significant change to the neighbourhood in which, or the premises from which, the LP services are to be provided, other than a change which leads to a variation by virtue of regulation 4(6).
(3) A Primary Care Trust must give notice of cancellation of a designation to those persons listed in regulation 4(5).
(4) Where a Primary Care Trust has cancelled a designation, it may not designate the same neighbourhood, premises or description of premises within a period of six months beginning with the date of cancellation of the designation, except where the reason for the cancellation of the designation was the rejection of an application for an LPS scheme.