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 2. Employing workforce reconfiguration was strongly affected with the negotiation and contest amid community clinicians and supervisors about "possession" of labor and cash flow.

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A critical rationale for PCO re-organisation in 2006 was to improve their commissioning purpose and people of clinicians through Exercise-Centered Commissioning. Nonetheless, the turbulence, which surrounded reorganisation was observed to own the opposite desired result.

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 3. An array of adverse repercussions were being linked to the centrally negotiated contracts, which excluded the hospitals in query.