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NHS leader warns up to 20 maternity units in England may close due to staffing

An NHS leader has warned that up to 20 maternity units across England could face closure as the service struggles with severe staffing shortages.

Bigger does not always mean better in hospital care | Letter
File photo Bigger does not always mean better in hospital care | Letter Photo: The Guardian

Staffing problems drive closures

The current crisis stems largely from internal staffing issues within the health service. Leaders suggest that closing smaller facilities is often seen as a tempting solution when recruitment fails. However, critics argue this approach does not guarantee improved care quality for patients.

Large centres attract staff

Bigger hospitals can offer consultants easier working conditions and lower responsibility levels for the same pay. This financial advantage allows larger trusts to recruit all available specialist medical personnel while smaller units are left empty. Consequently, centralising services on fewer sites creates a disaster for local populations who lose access to care.

Quality concerns at big sites

Reports indicate that the quality of neonatal care has already been questioned at some large trusts. Directing mothers to these larger facilities does not necessarily provide an undeserved reward or better outcomes. The belief that bigger units are inherently superior is being challenged by evidence of declining standards.

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