Interestingly, I was looking for something else and came across ENWL document -
Code of Practice 332, LV Service Connections and Application of PME. It goes into great detail as to when different configurations may or must be used, who pays when something must be changed, etc.
There really are some interesting, and in places, eye opening, facts to be gleaned from it. Far too much to try and summarise it, but if you're interested in the practical aspects of PME from the DNO's PoV then it's a very interesting read. There's a lot of network configuration mentioned that I don't think have been considered in this thread.
Clearly PME isn't quite as haphazard as some people seem to think it is.