NHS England has already undertaken wide engagement on this contract, including specific engagement on an early version in December 2016. Responses to the engagement exercise informed further development of an updated version of the draft contract published in August 2017.
It will always be for local commissioners to determine how to best deliver services to meet local needs. It is right that decisions on local services and service models are made by local commissioners, who can best assess how to meet the needs of people in their area. For any significant system reconfiguration, we expect all local parts of the system to be talking to the public and stakeholders regularly — it is vital that people can shape the future of their local services.