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<p>The principles underpinning the National Health Service, enshrined in the NHS Constitution,
include that it provides a comprehensive service available to all based on clinical
need and that NHS services are free of charge, except in limited circumstances sanctioned
by Parliament.</p><p> </p><p>Rising demands and continued fiscal constraint means
that the NHS faces challenges in ensuring that it remains financially sustainable
in the future. The Government believes that the answer to these challenges lies in
changing the way services are delivered and keeping people well and independent for
longer, not in altering the fundamental principles that underpin the NHS.</p>
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