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<p>As previously advised, all available evidence suggests that there has been no significant
impact on the National Health Service of the IR35 changes. Recent HM Revenue and Custom
research indicates that 58% of central public bodies have not had problems filling
vacancies since the changes and 63% have not seen an increase in rates as a result.</p><p>
</p><p>NHS Improvement has confirmed that there has been no significant impact on
the NHS of these changes and as such, we have not made a formal assessment of the
effect of these changes on the NHS.</p><p> </p><p>It should also be re-iterated that
NHS Improvement continuously monitors the levels of staffing in NHS trusts to ensure
they are able to prioritise patient care.</p>
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