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The reconfiguration of local health services is a matter for the local National Health Service. All service changes should be led by clinicians and be in the best interests of patients, not driven from the top down.<\/p>
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It is for NHS commissioners and providers to work together, with local authorities, patients and the public, in bringing forward proposals that will improve the quality, safety and sustainability of healthcare services.<\/p>
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Any changes must be supported by the Government\u2019s four tests for service change, namely:<\/p>
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- support from general practitioner commissioners;<\/p>
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- clarity on the clinical evidence base;<\/p>
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- robust patient and public engagement; and<\/p>
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- support for patient choice.<\/p>
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Once a decision on a local case for change has been made, it is up to the NHS to ensure its local services meet the needs of its population.<\/p>
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More generally, we would expect any local plans for changes to acute services to take full account of the impact on neighbouring hospitals.<\/p>
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