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A proposal to safeguard children who need heart surgery, by concentrating expertise in fewer hospitals allowed to do such operations, has been slipped out by the government, which admits it is inclined to reject the experts' advice.
The NHS does not need any further reorganisation less than a year after the new system was established, but if by concentrating expertise brings patient benefits, it might in the longer term be necessary.
Concentrating expertise is a good thing.
A multidisciplinary lymph node diagnostic clinic therefore has the advantage of concentrating expertise, facilitating investigations and ensuring prompt commencement of appropriate treatment.
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Secondly, it concentrates expertise and standardizes quality.
Moreover, concentrating this expertise in one place reduces the risk of errors and optimises reconstitution times for the whole hospital.
The drivers for closures vary, but include major international trends such as the move towards large, centralised hospitals providing full ranges of services, concentrating clinical expertise and entailing the closure of numbers of smaller, local hospitals [ 1], and the aftermath of the financial crisis [ 2, 3].
He said: "We felt we had to concentrate the expertise and reduce the number of centres in the country so we could have bigger centres with bigger surgical teams.
We can concentrate global expertise and resources on local problems, greatly accelerating the rate at which the fundamental waste management infrastructure is built.
Are the stringent measures being imposed on laboratories that store or work with the virus serving to concentrate technical expertise and industrial know-how in the hands of scientists in a very few industrialized countries, thus contributing to limited scientific inquiry and collaboration, which further escalates costs?
This notion is echoed across the research centre literature, with many citing the benefits of concentrating knowledge and expertise [ 2, 14, 22, 27, 29, 32] and social capital in research centres [ 22].
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