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Sooner or later the CSSs will be required to bid for work from the CCGs and will be competing with private sector organisations. Far better they structure themselves in preparation for this now or risk playing catch up later. There clearly needs to be a shift of customer focus and, for some, an about face in mindset. CSS leaders would benefit from looking beyond the NHS, and their designated suppliers, for support in creating organisations that locate their NHS experience within a private provider culture.

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