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Which bit of "national commissioning board" doesn't Commissar Nicholson understand? His job is to oversee the COMMISSIONING of services not to take command of the providers. And as for controlling the "commanding heights of the health economy", this smacks of someone who sees themselves stuck in an old Labour timewarp. Perhaps Commissar Nicholson is hoping to sacked for his inability to understand the reformed structure of the NHS, rather than waiting to be sacked for his failure to prevent Mid Staffs!