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para que es el bactrim suspension "Simon Stevens [appointedchief executive of the NHS lastApril] wants place-based commissioning so he believes CCGs should be responsible for the majority of the health needs within their area and he thinks the way we've got a fragmentation between some services being delivered by NHS England around primary care and then us commissioning between primary and tertiary run services, he just thinks it's unhelpful because you stop having some of the levers in the system."