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New NHS England boss calls for smaller hospitals

The NHS must end "mass centralisation" and instead expand its local services to treat people in their own communities, the new boss of NHS England Simon Stevens has said. He added that the health service is at a "defining moment".

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Centralised NHS 'too complicated and too fragmented'

NHS England chief executive Simon Stevens told the Telegraph:

A number of other countries have found it possible to run viable local hospitals serving smaller communities than sometimes we think are sustainable in the NHS.

Most of western Europe has hospitals which are able to serve their local communities, without everything having to be centralised.

He warned the complex care systems outside of hospitals must change and investment is needed in community services for the elderly to stop spiralling numbers ending up in hospital.

You cannot have a modern health service that is not treating older patients with dignity and compassion, supporting them at home and ensuring targeted prevention [of ill health].

There is a big opportunity to reorganise that so it meets the needs of those at home. At the moment it is too complicated and too fragmented.

If you were starting from scratch you would not design community services like that.

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