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TN-C-S involves a bit more for the DNO than simply linking N+E at the cutout. There must also be DNO earth electrodes at various points throughout the distribution network (hence Protective Multiple Earthing), and out in the sticks where TT is commonly encountered, this would be difficult to achieve.
TN-C-S doesn't necessarily mean PME though. You can have a TN-C-S supply that isn't earthed at multiple points.