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<p>NHS England is responsible for commissioning the primary care National Health Service
sight testing service. Clinical commissioning groups (CCGs) are responsible for commissioning
secondary care ophthalmic services. CCGs are also able to commission eye care services
in the community which go beyond the standard NHS sight test, where they judge them
to be needed in their areas.</p><p> </p><p>CCGs are required, for all services they
commission, to assess the health needs of their local population and are held locally
to account to the population they serve through the health and wellbeing boards. In
taking any decision about the health of the local population, the CCG has to ensure
that services meet the needs of the local population.</p>
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