Why close hospitals is good for your health

12. September 2011 booth 12: 56 GMT by Nick Triggle health correspondent of the BBC News stroke was Services revised in London over decisions close - or move - hospital services are always controversial. But there is häufenden evidence that actually support better these changes and can save lives.

Every hour someone in London has a stroke - but are the lucky in many ways.

It is now widely recognised that is probably the best place in the world, a city to have.

And it's all because some services were shut down.

The capital of stroke care has been overhauled in the spring of 2010. Instead is spread over 30 hospitals, how they are used, services are now centralized in eight "super sites".

It's meant, patients quickly, you will receive 24-hour access to the best care and 400 lives per year to save.

If a stroke is suspected, a patient is immediately placed in one of the eight centres. There they are measured by a stroke specialist and a brain scan within 30 minutes of arrival.

This allows physician to make sure that patients receive the right treatment in time.

For example, require 15% of stroke patients clot-busting drugs blood flow to the brain within hours of the stroke to restore. In London, almost all of them get it.

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the problem is, all of you on board and agreed to the idea, but then their local unit is threatened local campaigns is underway and it makes it harder than it should be "

end quote Mike Farrar NHS Confederation in fact six of the eight units have received the highest degree possible by inspectors." In the rest of the country, only one in 13 units were the review, da.

Tom Greenwood, head of London operations for the Stroke Association, says: "I think there is evidence that the system in London is leading."

"Patients tell us, they are amazed at how seamless and integrated it is - it really has services better."

Risk for patients

But it is not only stroke care that can benefit from such a redesign.

King's Fund has argued that a number of specialties will benefit would come from fewer pages.

In a report published earlier this year marked the think tank of A & E, maternity, neonatal and heart services in particular.

Without such measures, said researchers at risk patients.

The argument has also from other places were provided.

A wave of new hospital, developments have taken place in the last ten years

The Royal College of surgeons said that emergency departments should be not services, to ensure that the expertise is not too thinly scattered less than 300,000 inhabitants.

Currently, the North-East has an emergency room for all 150,000 people. The North west and London fair little better.

Similar arguments have care of the Royal College of Obstetricians and gynecologists and child heart surgery for motherhood while an official NHS review put forward by local health chiefs.

But these steps at a price - the closure of the individual hospital departments or sometimes whole centres.

'Equipment'

For example, said the review of child heart surgery between four and five units had to stop operation ensure, doctors, the enough operations carried out, to keep their skills.

This proposal has local campaigns to save the endangered units, with one even entitled, ignited the proposals by the courts.

It is this kind of backlash that makes such a difficult step to overhauling hospitals.

Despite the strong case, which often cannot be relied upon, feel connected to their local hospital the public.

And as a result, politicians have publicly eschewed change - back up, even if the centralisation of services often saves money by to make healthcare more efficient.

Hospitals were the visible face of NHS, since it was created. This was cemented in the 1960s, that extends the network of General district hospitals seen to every corner of the country.

And it has to build the private money through the use of PFI in the 1990s has been reinforced or renovated has used over 100 hospitals.

But Mike Farrar, Chief Executive of the NHS Confederation is health managers, says, that in hospitals, which can often come in the way.

He had experience of two large transformation as he head of the North West regional health authority - one with the closure of an A & E unit and the other is the overhaul of maternity care in the Greater Manchester.

"The problem is, all of you on board and agreed to the idea, but then their local unit is threatened local campaigns is underway and it makes it harder than it should."

"It means that we for years, if the arguments for change and sometimes not exactly what benefit the patients."

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