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Hospital services in nearly two-thirds of England could be cut or scaled back, BBC analysis of local plans shows.
The proposals are part of a programme to transform the health service and save money across 44 different areas.
The BBC found 28 proposals affect hospital care, from full closures to centralising services, such as A&E and stroke care, on fewer sites.
NHS England argue patients will receive better care in the community to compensate for the hospital cuts.
The proposals also include the creation of “super” community hubs of GPs, care workers and district nurses, seven-day access to GPs and getting hospital specialists to run clinics in the community.
The BBC analysis found:
- Plans to reduce the number of hospital sites in Leicester, Leicestershire and Rutland from three to two
- In the Black Country a £700m funding gap means one hospital may have to be closed
- Maternity and children’s services being “centralised” on to one site in Lincolnshire
- A warning in West Yorkshire and Harrogate that having five hyper-acute stroke services may “no longer be viable”
- The downgrading of two out of three A&Es in Mid and South Essex, with only one retaining specialist emergency care
- In South West London, proposals to reduce the number of major hospitals from five to four
- Plans in Nottinghamshire to significantly downsize City Hospital and reduce the number of beds across Nottingham by 200
- In Cambridgeshire and Peterborough, consideration being given to centralising specialised orthopaedic trauma services at two local hospitals
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