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Least favorite alt-history story?

This is an unwritten role in "For All Time" isn't it?

President Jones
Governor Jim Jones
Chairman Chikatilo

The logical continuation is Shipman being PM. IIRC Fred West was an admiral in Roem's continuation of the story.
Harold Shipman's fate is actually specified in the epilogue to For All Time: he serves as head doctor of a massive hospital in Nigeria before being found dead with a syringe of something poisonous stuck in his leg.