Exercise Your Choice HEALTH and SOCIAL CARE ACT (2012)

Dear Dr.........

I wish to exercise the "choice" repeatedly offered to me by the Government ministers during the run-up to, and passage of, the Health and Social Care Act (2012).

I wish to be offered tests, treatment and care from NHS providers only and not from private companies contracted to the NHS (unless a service is not available from an NHS provider).

The NHS should always be the preferred provider.

Please could my notes be tagged "NPP" or "No Private Providers" so that my choice is explicitly clear on all my records and whenever a referral is made by the practice. 

Thank you for your co-operation. 
Name...................................................... 
signed..................................................... 
dated.................................................... 
address...................................................
 DoB.....................................................
NHS No................................................