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<p>NHS England has a statutory responsibility to ensure that all patients have access
to high-quality primary medical care services and enters into contractual arrangements
with a range of general practitioner providers to secure those services for the population
of England.</p><p> </p><p>The commissioning process to secure services includes, where
necessary, approaches to stimulate the provider market. These include engaging with
patients and the public, and hosting provider events, working with professional representative
groups and other key stakeholders. Options available to commissioners include:</p><p>
</p><p>- Procurement through an Alternative Provider Medical Services contract, which
allow the widest range of providers to bid for delivery;</p><p> </p><p>- Re-procurement
through General Medical Services or Personal Medical Services contracts, which are
contracts that can only be held by general practitioners or wider members of the National
Health Service family; and</p><p> </p><p>- List dispersal in the case of generally
small practices where there is reasonable provision from neighbouring practices.</p>
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