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Sample Essay At the regional level, there are regional Chairmen who in turn appoint more or less five regional executives serving full time with overall responsibility for performance in achieving the objectives set by the Authority, especially the NHS board, and the regional health care organization. Regional chairmen reorganize and redefine the roles of functional managers; ensure that the primary reporting relationship of functional managers is to the Region Executive who makes the final decisions and management structure of the Authority. To note is that the Region Executive is in the position of the regional CEO and the regional chairmen are the ones responsible for the appointment of the District Chairmen who in turn are directly responsible to the regional chairmen.