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Why does the new architecture of the NHS have to pretend so hard to be something else?

Monday saw the NHS Trust Development Authority  (NTDA) appoint its second tier of staff. Leaving aside the fact that it looks now as if the NHS is a completely closed shop – with no external advertising for what are all very important posts being filled over this month or so – there are some very good people being appointed.

As the new architecture emerges from the mist it is clear that the NTDA is really very important.

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