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Size has very little to do with viability, at least at this level of activity. Monitor's financial and governance ratings demonstrates this - and if anything suggest that large, multi-site organisations are liable to do worse. What's the plan? Create an opportunity for Matthew Kershaw to build on his south east London expereince by combining Bedford with one or more of its local neighbours eg Monitor red rated Peterborough and Stamford FTand/or amber-red rated Cambridge University Hospitals FT?

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