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'Close hospitals' to save the NHS, warn managers, doctors and patients


The NHS faces financial ruin and is no longer sustainable in its current form, doctors, managers and patients warned.

Hospitals may have to be closed and major changes to the way the health service is run should be brought in to help pull it back from the brink of collapse.

The Academy of Royal Colleges, the NHS Confederation and patient group National Voices have urged politicians to “show more courage” in dealing with the NHS’s multi-billion pound deficit.

The alliance has set out a series of recommendations to rescue the crisis-hit service, including a major transfer of services away from hospitals and into the community, an increase in the number of GP surgeries and health centres and greater investment in district nursing and social care.

Mike Farrar, chief executive of the NHS Confederation, which represents health service managers, said the NHS would otherwise “descend into a vicious spiral of poorly planned, reactive responses resulting in unsustainable demand”.

But he warned that the revolution needed would be “like changing the engine while the car is still running”.

He said: “We simply cannot continue as we are at the moment. The problems in A&E will get worse and waiting lists for treatment will get longer.

“Emergency work has to take priority over planned work, which earns more income for hospitals. So more hospitals will find themselves in financial difficulty.”

Mr Farrar warned that the NHS in England was likely to be underfunded to the tune of £54bn by 2022.

He referred to a report from the Royal College of Nursing, which suggested that up to 6,000 beds - the equivalent of 20 hospitals - could be lost in an effort to make the NHS sustainable.

He said the proposed restructuring would mean fewer hospitals but more specialists on regular duty, improving the quality of care.

“Communities do feel strongly about their hospitals,” he said. “But they also feel a strong bond with their GP surgeries, and people love district nurses. What I am not saying is that care will disappear from the community.

“Most people would agree if I said I could spend some of this money to help you to live independently in your own home for longer. It is up to all of us to make the case.”

He added: “It is really important that politicians take stewardship of £110bn of taxpayers’ money every year. But we are asking for politicians to show more courage.”

Jeremy Taylor, chief executive of National Voices, said: “Patients are not best served by the current pattern of services. For the safest, highest quality care, hospitals need to be organised differently and more services are needed closer to people’s homes.

“But the changes needed are often highly controversial. The NHS has often failed to make a good case; to involve patients and communities in ways that would build trust and to follow through to ensure that the new pattern of services is better than the old.

“And the public are rightly suspicious of closures and downgrades that seem to be more to do with money than quality of care.”


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Readers' comments (17)

  • Quite easy to sort all this mess out: immediately review the GP contracts and mandate them to provide 24/7 care to their list. GP surgery's should be open until late everyday including at weekends. Each GP surgery would have to provide their own out of hours service too. Increase the GP budgets if necessary. If patients knew that they could see their GP that day, then they wouldn't be flocking to A&E.

    The NHS does far too much: it needs to seriously curtail what it offers. I don't think the NHS should be providing fertility treatment, gender realignment, breast reductions or any other unnecessary surgery or procedures.

    Some might think this harsh, but there's not an infinite amount of money and I for one do not want to pay any extra tax.

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  • Anonymous | 5-Jun-2013 12:42 pm

    I couldn't agree with you more on every point.

    I think GPs should also be NHS employees and an integral part of the service. their work obviously needs reorganisation so that they provide an out of hours emergency service although I suppose they are just gate keeping for A&E and genuine emergencies will end up there any way but at least they can serve the purpose of calling A&E to better coordinate care of their patient.

    I think it is time this archaic and paternalistic gate keeping practice, almost unique to the UK and not recognised by any continental European countries, should cease. GPs are good for some things but not all and just severely delay the process for many of accessing specialist care.

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  • A&E should be accidents and emergencies only, the clue is in the name.
    Hospitals should be for sick people only or for those needing operations.
    GPs should be open 7 days a week with evening opening hours, they should all offer minor procedures, blood tests etc.
    There should be more community hospital services (whatever happened to those super clinics that never appeared).
    Perhaps there should be an end to free prescriptions for some people, I object to paying over 7 pounds for a few pills whilst others who are far richer than me get stacks of pills for nothing, half of which they probably don't bother take or don't really need.
    Perhaps it is also time that hospitals offered a decent 7 day service for routine scans, xrays, pharmacy, etc. etc. so that patients are routinely discharged in the afternoons and at weekends.
    With regards the above comments, I agree to some extent that the NHS offers far too much. It is not a bottomless pit of money.
    No-one will have the courage to ration any treatment.

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  • Anonymous | 5-Jun-2013 1:27 pm

    I don't believe treatment for the sick and injured should ever be rationed but I don't believe in the NHS paying for treatments which are not related to either of these conditions and which are non-essential such as those mentioned in the first post.

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  • tinkerbell

    Some of the very managers, morons, that lead the NHS into this mess are now saying they will be the ones to lead us out of this mess. Madness!

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  • tinkerbell | 5-Jun-2013 4:40 pm

    seems like pure logic to me!

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  • care for the sick and injured should not be rationed, I agree with that, what about those who are no longer sick and no longer injured?

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  • But if we close the hospitals then we MUST have more staff in the community and re-arrange the services to encompass all of the pt needs

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  • tinkerbell

    if there's no mention of this headline on question time tonight i will start to think there is some definite censorship and corruption going on at the bbc.

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  • So in other words we need to go back in time to when Gps were responsible for their patients 7 days a week, and community hospitals existed.

    yes well I do remember those days, but for some reason it was decided that was no longer the way to run the NHS, and those services disappeared. Now we will spend a fortune reorganising it all again.

    Can someone please make up their minds once and for all!!!

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