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We remain committed to a publicly funded NHS. However, the private sector has always played a vital supporting role in the NHS, for example in building hospitals, in providing facilities management services, in supplying medicines and equipment. Primary care contractors – GPs, dentists, pharmacists – have always been independent contractors and are not NHS employees. The opportunity – not obligation – of NHS commissioners to use private sector healthcare providers in order to support existing NHS-delivered care has played a key role in improving patient choice, and in reducing waiting times. In such cases, private sector contractors have to adhere to the same standards of efficiency, safety and quality as NHS providers do, and for this reason the publicly funded NHS will always remain in the driving seat. We are clear that patients should be able to access the best possible treatments based on quality of care and value for money not the type of provider they receive this care from.Department of Health and Social Care |