I can't speak for national but in Sussex we have MoUs with NHS Trusts and no contracts. Nor would we be likely to sign formal contracts if they included any commitment on our part to provide a specified level of service. We have not, to my knowledge, been asked to sign frormal contracts. An MoU is an understanding of what we will attempt to do in response to being asked to provide service (best efforts). A contract is likely to contain a specified commitment to provide service.
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