Reconfiguration of surgical, emergency, and trauma services

doi:10.1136/bmj.328.7438.522-b

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Bigger is not better

David G Currie, neurosurgeon (David.Currie@arh.grampian.scot.nhs.uk)

Aberdeen Royal Infirmary, Aberdeen AB25 2ZN

EDITOR—Black's editorial on the reconfiguration of surgical, emergency, and trauma services in the United Kingdom discusses what is proving to be a destructive tendency in Scottish medicine and, I suspect, in UK medicine.1

A depressing trend prevails in Scotland to see centralisation (sometimes …