General Medical Practice patient administration and clinical systems delivered as a managed service, together with associated services (including, but not limited to; implementation, development, testing, support and training services) and optional software modules (“GP IT Managed Services”). The services are to be made available pursuant to a framework to general medical practices (“GP”) or premises from which GP or primary medical care services are provided. The IT needs of NHS Scotland require to be met on a flexible basis to address its evolving business and clinical requirements and to deliver the benefits of improvements in technology. This will result in both changes to service provision and the requirement for additional administrative and clinical services, for which systems may require to be hosted and supported over the term.