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Certainly centralised planning for the equitable coverage of health care is long overdue. No CCG, or CCGs working in collaboration, would be able to make this sort of change without centralised direction.
BUT any changes need to be made on the understanding that a reasonable level of patient accessibility is assured. There is no point at all in reconfiguring services to such an extent that they become too remote for the poor, the elderly, the ill, the disabled, the double-buggy users etc to access. For these groups, centralised planning could be disastrous.