The appropriate national authority1 has a duty to promote a comprehensive health service or as the case may be, provide such opthalmic services as it considers necessary to meet all reasonable requirements2. There is also a duty on the National Health Service Commissioning Board 3 or the local health board4 to provide certain ophthalmic services5and they have the power to enter into general opthalmic services contracts requiring a contractor6 to provide services which may include services which are not primary opthalmic
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