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A revision of the GP IT Operating Model, ‘Securing Excellence in GP IT Services’ 2016/18 for the provision of high quality GP IT support services, which clearly outlines accountabilities and commissioning responsibilities, together with a number of enhancements to core provision to general practice outlined in the 2014/16 2nd edition. An updated GP IT Operating Model is available: Securing Excellence in Primary Care (GP) Digital Services: The Primary Care (GP) Digital Services Operating Model 2019-21