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19.—(1) If the NHSCB is satisfied as mentioned in regulation 17(2)(a), it may—
(a)defer determination of the application;
(b)invite applications from other persons to offer to secure the improvements or better access mentioned in regulation 17(1) that the applicant is offering to secure; and
(c)consider, at the same time as the applicant’s application, any application it receives—
(i)as a consequence of the invitation issued in accordance with sub-paragraph (b), or
(ii)that, even if it was not received in response to that invitation, is in any event from another person offering to secure the improvements or better access mentioned in regulation 17(1) that the applicant is offering to secure,
but it must not, pursuant to this paragraph, defer consideration of the application for longer than 6 months.
(2) If the NHSCB is satisfied as mentioned in regulation 18(2)(c), it may—
(a)defer determination of the application;
(b)invite applications from other persons to offer to secure the improvements or better access that the applicant is offering to secure; and
(c)consider, at the same time as the applicant’s application, any application it receives—
(i)as a consequence of the invitation issued in accordance with sub-paragraph (b), or
(ii)that, even if it was not received in response to that invitation, is in any event from another person offering to secure the improvements or better access that the applicant is offering to secure,
but it must not, pursuant to this paragraph, defer consideration of the application for longer than 6 months.
(3) If the NHSCB is satisfied as mentioned in regulation 17(2)(b) or 18(2)(d), it may defer consideration of the application until it can be considered at the same time as the other application.
(4) If the NHSCB is satisfied as mentioned in regulation 17(2)(c) or 18(2)(e), it may defer consideration of the application until after the appeal has reached its final outcome.
(5) If the NHSCB is satisfied as mentioned in regulation 17(2)(d) to (g) or 18(2)(a), it must refuse the application.
(6) If the NHSCB is satisfied as mentioned in regulation 18(2)(b), it may grant the application notwithstanding that the improvements or better access were or was not included in the relevant pharmaceutical needs assessment.
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