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Letters Politics of NHS reconfiguration

Closing hospitals with warm sympathy

BMJ 2011; 343 doi: (Published 27 September 2011) Cite this as: BMJ 2011;343:d6135
  1. Robert G A Behrman, consultant geriatrician1
  1. 1St Mark’s Hospital, Maidenhead SL6 6DU, UK
  1. robert.behrman{at}

Am I alone in being struck by a discrepancy in our current approach to organising healthcare?1 I accept there may be a minimum size for hospitals to be effective. There is nothing new in this sentiment; Aneurin Bevan’s said he “would rather be kept alive in the efficient if cold altruism of a large hospital than expire …

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