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It is possible that changes to the contractual arrangements for GPs may be required to achieve more widespread engagement with the naloxone programme.
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The Medman Trial was a multicentred RCT commissioned by the UK Department of Health to inform changes to the community pharmacist contractual framework.
This subsection shall not apply to individually negotiated changes to contractual terms, such as individually modified workouts or renegotiations of amounts owed by a consumer under an open end consumer credit plan.
There is an increasing trend to use incentives in UK NHS primary care. 1 Within dentistry this manifests as changes to dental practitioners' contractual arrangements.
Another objection to the contractual view concerns voluntarism.
Participating GPs and Health Care Assistants must also agree to the contractual obligations of the trial.
A final issue concerns the relationship with the workforce, with specific regard to the contractual relations.
Another effective change would be to reassess the contractual obligations schools have to meet caloric requirements, and instead reform those guidelines to promote nutritional requirements instead.
The contractual model had to undergo changes to enable the new service delivery strategy.
We describe the legal ramifications of this enforcement initiative, and document dramatic contemporaneous market-wide changes in the contractual structure of PIPEs.
In New York City, for example, since the 1980s, the United Federation of Teachers has negotiated school-based options to allow teachers and principals to agree to change certain contractual rules to fit the educational needs of individual schools.
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