Surgeon tells off camera crew infront of PM Cameron

[-:Undertaker:-]

Small hospitals are inefficient, it's better to have larger hospitals offering more services from one site

Not at all, thats a common misconception - its the same with big government or a command economy, 'its more efficent' - wrong. A smaller school for example will only need one headteacher who may even teach from time to time, a large comprehensive school requires the headteacher along with deputy heads and other layers of management thus costing more to run than the smaller school would do so and offering a worse service.

The same goes for hospitals concerning the running of the hospital along with building work that may be required/energy, heating.

[Technologic]

Not at all, thats a common misconception - its the same with big government, 'its more efficent' - wrong. A smaller school for example will only need one headteacher who may even teach from time to time, a large comprehensive school requires the headteacher along with deputy heads and other layers of management thus costing more to run than the smaller school would do so and offering a worse service.

The same goes for hospitals.

Not really, having more, smaller hospitals means the splitting of services. Patients have to be transported between different units at various hospitals and referrals can be more difficult. Plus larger hospitals have the advantage of specialists being able to co-operate on various issues and the larger the hospital, the better it can deal with an incident.

Tldr: A hospital is not a school.

[-:Undertaker:-]

Not really, having more, smaller hospitals means the splitting of services. Patients have to be transported between different units at various hospitals and referrals can be more difficult. Plus larger hospitals have the advantage of specialists being able to co-operate on various issues and the larger the hospital, the better it can deal with an incident.

Tldr: A hospital is not a school.

It does, but thats much better because if everything is located at one central point then you simply end up having to move people to one location as opposed to having services spread out. In some cases with expensive treatments then perhaps yes, but this would make no difference if being at a smaller hospital than a large one as the service is still at one central point. The NHS being a prime example of this is very inefficent, its hospitals are so large and the service itself is so centralised that its simply unmanageable even with the amount of management it has. Government continues to battle with running such a centralised service, only to make it even worse each time; http://www.telegraph.co.uk/health/he...an-nurses.html

A hospital isn't a school, but its the same principle - a state run service either centralised or decentralised. British hospitals prior to the NHS were a very good patchwork of services ranging from charitable hospitals to private hospitals and it worked whereas the NHS simply doesn't.