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This article has been withdrawn as it was published elsewhere and accidentally duplicated. The original article can be seen here: 10.1108/09513559710156733. When citing the article, please cite: Sue Dopson, Rosemary Stewart, (1997), “The changing role of the regional tier of the NHS”, International Journal of Public Sector Management, Vol. 10 Iss: 1/2, pp. 93 - 107.

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