While there may well be a case for focusing resources on a smaller number of acute sites, there is a huge issue about accessibility and convenience, which doesn't sit well with the supposedly consumer-friendly modern NHS.
A longer journey to hospital must also carry serious risk. How many lives will be lost because of increased journey times?
At the end of the day it is about resources. The ideal solution would be to raise the level of expertise in locally accessible sites.
Steve Hill, head of finance and performance, City and Hackney locality, East London & the City mental health trust