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Hello Kosta,
The difference is (I'm assuming) you don't run a mega practice with say 100 surgeries and 1000s of staff, and then decide to close down half of them, which would mean according to HR best practice and some employment law, that you'd have to offer existing employees suitable alternatives to redundancy.
The NCB recruitment process is set out here
http://tinyurl.com/9n9pzra
and what I suspect has happened is that the post is deemed different from existing NHS posts in the "old" system (probably by some sort of point scoring thing) so a limited field of people could apply in the first round, e.g. regional DPHs. You can't go down to ex PCT DPHs because that's a different risk pool.
Think of it in levels. I think they got one layer down from the completely external/ open ad level, otherwise you'd have seen it in the BMJ.
I'm not defending one individual over another, I'm just saying that there is a process. And that because of the timelines, it's speeding up.

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