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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 NHS board and the regional health care organization.
Regional chairmen reorganizes redefine the roles of functional managers; ensure that the primary reporting relationship of functional managers is to the Region Executive who makes final decision and management structure of the Authority. To note is that the Region Executive are in the position of the regional CEO and the regional chairmen are the ones responsible in appointment of the District Chairmen who turn to be directly responsible to the regional chairmen.