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The need for service reconfiguration, with fewer hot sites, is very pressing across London (I cannot speak for elsewhere). It is difficult or impossible to achieve high quality care in numerous small facilities. We've learned how much better consolidated services can be with stroke, percuaneous coronary interventions and trauma. The same principles apply to emergency medicine and surgery, maternity and paediatrics.
I'm heartily relieved that Mr Hunt is not intending to call in the proposals for review, but still very nervous that local politicians will, as ever, put political expediency before patient care.