Local Hospitals

[Misspears]

http://www.bbc.co.uk/news/health-27631081

Smaller community hospitals should play a bigger role especially in the care of older patients, the new head of the NHS in England has said.

In an interview in the Daily Telegraph, Simon Stevens signalled a marked change in policy by calling for a shift away from big centralised hospitals.

The health service chief executive said there needed to be new models of care built around smaller local hospitals.

The NHS said he was not suggesting the return of 50s-style cottage hospitals.

In recent years the health service has emphasised the benefits of centralised services.

This has paid dividends in areas such as stroke care and major trauma where significant benefits have been gained by concentrating specialist care.

But this has raised questions about the future of the many smaller district general hospitals across the NHS.

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In the interview in Friday's paper, Mr Stevens said they should play an important part in providing care, especially for the growing number of older patents who could be treated closer to home.

He said: "A number of other countries have found it possible to run viable local hospitals serving smaller communities than sometimes we think are sustainable in the NHS.

"Most of western Europe has hospitals which are able to serve their local communities, without everything having to be centralised."

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[Rosalind]

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