Mrs Bottomley announces changes to London's health servicesGPs report deterioration in community care servicesNHS dental care will be targeted on neediest patientsGPs' current night visit fee structure will continueBMJ 1995; 310 doi: http://dx.doi.org/10.1136/bmj.310.6985.1012 (Published 15 April 1995) Cite this as: BMJ 1995;310:1012
- Linda Beecham
Mrs Bottomley announces changes to London's health services
Last week the health secretary announced changes to the health services in London that resulted in her being castigated by many fellow Tories (p 962). Mrs Virginia Bottomley explained in a written parliamentary answer that the changes were the results of “four comprehensive consultation exercises carried out by the relevant district health authorities.” She had, she said, taken full account of the comments, particularly about the pace of change. For example, the accident and emergency departments at Guy's and Edgware General Hospitals would not close until alternative and related services were fully equipped. Alternative facilities for treating minor injuries would be provided at both sites.
The short stay and specialist services at the Royal Hospitals Trust will be concentrated at the Royal London Hospital, in Whitechapel, and between now and the end of the century services will transfer from St Bartholomew's and the London Chest Hospitals.
Emergency and specialist services at present split between the two sites of the Guy's and St Thomas's Trust will be concentrated at St Thomas's. Guy's Hospital will be developed as a major medical research and teaching campus.
Accident and emergency services will continue to be improved at King's College and Lewisham Hospitals, with investments of pounds sterling8m and pounds sterling5m respectively. A major new neurosciences centre will be created at King's College Hospital, and the neurosurgery provided at the Brook Hospital will transfer to King's.
A new district hospital will be established at Greenwich (currently the Queen Elizabeth Military Hospital) from August.
Barnet General Hospital will be upgraded at a cost …
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