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The case for reconfiguration rests on several myths:
1.That 50% of A&E attendances can be diverted into the community.
2. That expansion of primary and community services will reduce demand for acute services to an extent greater than the investment in primary and community services
3.That the costs of creating capacity in new centralised facilities will be less costly than the savings from reducing local services.
4. That local people will not notice the difference and will not vigorously oppose reductions to access, capacity and resilience of local services.
5. That there are not simpler, safer and less costly options for improving staffing levels and safety in acute settings.
6. That those asking for a proper business case before agreeing to reconfigurations are being obstructive and difficult.
7.That it is vital to push reconfigurations through before the next election.
8. That there are not other options for achieving savings to meet efficiency targets.

Can someone point to the evidence supporting any of these myths?.

"Sir Ian’s recommendations was that, due to the level of organisational change taking place across the system during the final quarter of 2012-13, there should be further detailed work with the new bodies that were formed from April.”

This seems eminently sensible to me.

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