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Whatever your political persuasion, it is very clear to see that there is an urgent need for hospital capacity rationalisation and MPs need to start helping a more constructive debate at a local level.

Paul Burstow has a massive conflict of interest and should bow out of the matter affecting his local hospital.

The emotion surrounding closure of A & E is purely psychological because what takes place behind the doors of A & Es is changing any way. People with emergency stroke, cardiac, vascular and increasingly major trauma are taken to specialist hospitals, bypassing their local hospital when appropriate.

The population readily accept that it is better for them to be treated at a hospital that is more experienced and specialises on particular major conditions.

Psychologically, it would be better to keep A&Es open to deal with what they can and allow the trend to specialisation to continue.

More collaboration between neighbouring hospitals is a key step to dealing with this.