It is my belief that there is ample evidence to support the following:-
- Closing small “A&E” Departments and concentrating emergency surgery (and emergency medicine) on fewer sites saves lives.
- Closing “A&E” and replacing with an Urgent Care Centre does not save any money.
- Foundation Trusts are no more innovative than NHS Trusts.
- It takes significant investment and a period of double running costs to move care out of hospital.
- Most Foundation Trusts do not want to treat more private patients.
- Private providers providing services to NHS patients (over £1bn for elective surgery in 2011) do not provide poor quality.
- Acute hospitals do not admit patients unnecessarily, but a better system would have fewer admissions.
- Acute Trusts do not elicit more patients to get ill so they get greater income any more than ambulance services encourage 999 calls.
- We have little or no idea how effective or efficient primary and community care are, as the data is not available.
- In any period of tight funding mental health and learning disability suffer worse than acute care.
Anyone disagree and able to supply evidence?