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