Letters to The Telegraph - One city, nine NHS chief executives - The Sunday Telegraph 6th July 2008

Your correspondent is right to identify financial inefficiency within the National Health Service (Letters, May 29). The rot started in earnest in the mid-1980s when local health authorities, then managing the whole service for a community, were replaced by multiple independent trusts, each with their own highly-paid internal structures. In Liverpool today there are nine trusts managing substantially fewer beds and services than were managed by one (slim) health authority 20 years ago.

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