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COMMISSIONING A PATIENT-LED NHS Date: 28 July 2005 Gateway reference number: 5312 To all: Chief Executives of NHS organisations Chief Executives of Local Authorities Directors of Social Services Primary Care Trust PEC Chairs INTRODUCTION This brief document builds on the NHS Improvement Plan and Creating a Patient-Led NHS. Its focus is on creating a step-change in the way services are commissioned by front-line staff, to reflect patient choices. Effective commissioning is a pre-requisite for making these choices real. It does so in the overall context of improving the health of the

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