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As a result of the centralisation of services five acute stroke units in London were closed down.
"Centralisation of services won't work in Cumbria," said Annette Robson, a campaigner from the We Need West Cumberland Hospital Group.
The College of Emergency Medicine, which represents A&E doctors, said it never believed that the massive centralisation of services was justified clinically.
There would be huge centralisation of services that are currently provided in many hospitals in order to improve the quality of care.
Lansley supports his focus on quality but identifies him with a trend he doesn't like, the perceived centralisation of services into super-sized hospitals.
Now, in a paper published in the BMJ, Stephen Morris (Professor of Health Economics at University College London) and colleagues report on the experiment, finding that centralisation of services saves lives.
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The required size and capacity for a central coordination team, the need for specialised units for TB diagnosis and treatment, and the appropriate level of centralisation or de-centralisation of services depends on the size of the country as well as TB burden and distribution.
This may mean centralisation of some services, which can improve outcomes for patients by making services more specialist.
While the regionalisation or centralisation of specialist services is recognised as an economical way to provide specialist health services, the extent to which these models serve critically ill children who live some distance from tertiary care has not been described.
He also raised again the spectre of widespread centralisation of hospital services by stressing several times that the NHS would have to undertake considerable "service redesign" in order to achieve both goals.
The centralisation of stroke services in London, which involved the controversial closure of five hospital units, saves nearly 100 lives a year, according to research.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com