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So, the NHS is tasked with setting up commissioning support services to compete for business and offer choice - and they appoint a single Chief Exec over 2 rival organisations!

Likewise Merseyside and and Cheshire.

You couldn't make it up. 4 subscale organisations with 2 Chief Execs that have an inbuilt conflict of interest.

Surely the sensible and brave thing to do would be simply to merge them. Having 21 instead of 23 CSUs is not the end of the world. What must onlookers think of this?

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