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Centralising services does not always improve quality, King’s Fund says

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g7192 (Published 25 November 2014) Cite this as: BMJ 2014;349:g7192
  1. Peter Davies
  1. 1London

Decisions to reconfigure clinical services are not made on the basis of sound evidence despite the public controversy that they often attract, says a King’s Fund report that questions many of the assumptions about the benefits of such changes.

The report1 claimed that research provides little support for centralising services in large hospitals, that community based initiatives find …

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