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Apart from a general nod towards all Trust guarding against isolation, I can't see mention of reconfiguration / centralisation of services to address quality concerns in any of these 14 most troubled trusts, even the small ones - it's all about running their hospitals better.

If momentum for reconfiguration isn't generated from this process it will never get off the ground. Local populations will never wear losing services because 'we can't afford them'. It's got to be argued from quality and patient safety, surely?

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