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<p>These are matters for the local National Health Service. No such assessments have
therefore been made by the Department.</p><p> </p><p>All service changes should be
based on clear evidence that they will deliver better outcomes for patients. It is
right that these decisions are led by local clinicians, who best understand the healthcare
needs of their local populations, and in consultation with local people.</p><p> </p><p>Changes
must meet the four tests for service change: they must have support from general practitioner
commissioners, be based on clinical evidence, demonstrate public and patient engagement,
and consider patient choice.</p><p> </p><p>We understand that North East Essex Clinical
Commissioning Group (CCG) is currently consulting local people on the future provision
of local urgent care services.</p><p> </p><p>The CCG has liaised with the local Service
Resilience Operational Group to assess the impact of all the potential options.</p>
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