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<p>In considering the commissioning and provision of secondary care, it is for commissioners
and clinicians locally to design and deliver the models of care that are going to
provide the best outcomes for patients.</p><p> </p><p> </p><p> </p><p>NHS England
has published a Five Year Forward View which describes the vision for the future of
the NHS, including increasing the involvement of General Practitioners in the provision
of services traditionally placed in secondary care through ‘Multispecialty Community
Providers’ and ‘Primary and Acute Care Systems’. A copy of the Five Year Forward View
is attached.</p><p> </p>
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