If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email firstname.lastname@example.org .
Please tell us what format you need. It will help us if you say what assistive technology you use.
The Secretary of State for Health gives the following Directions in exercise of the powers conferred by sections 7(1), and 8(1) and 273(1) of the National Health Service Act 2006(a).