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A DH spokesman said: "The NHS has always had to respond to patients' changing needs and expectations. As lifestyles, society, technology and medicine continue to change, the NHS needs to change also. However, NHS England are clear that this will not mean cutting, charging for or privatising services. And this does not change the fact that any changes to local services must have the support of GP commissioners, be backed by clear clinical evidence, involve local people and support patient choice.
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