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Switching providers is a costly mess.
Competition with other providers is not the issue.
"No co-operation with the providers is required," it adds.
However, sourcing from local providers is not without its challenges.
The range of content providers is large and growing.
Regulating private providers is exceptionally difficult even in rich countries.
The big secret about the golden age of "male providers" is that it never existed.
Stricter monitoring of care providers is another feature of Sutcliffe's plans.
The official figures show: The overall deficit for service providers is £622m worse than planned.
However, being more open to private providers is not the only answer.
The reports show that the financial position of NHS providers is deteriorating rapidly.
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