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At the heart of general practice since 1960

Dr Brian Fisher

The Lewisham experience - coming to a CCG near you?

The announcement of a hospital closure creates a highly emotive, visceral reaction. As commissioners we realise not every hospital can be sustained and there are hard choices ahead.

But the experience in Lewisham is a sad day for commissioning as well as for patients because of the rushed process and disregard for local commissioners. It’s as if commissioning for our population did not exist.

The decision is fundamentally flawed for several reasons

1/ Lewisham should not have been included

South London Health Care Trust (SLHCT) was a merger, about four years ago, of three failing trusts into one large failing trust. Since then, it has improved clinically, but remains crippled by a huge PFI dept and, according to the Special Administrator, continuing managerial failings.

Andrew Lansley invoked the regime that had been created by Labour for unsustainable trust failure and appointed a Trust Special Administrator(TSA) to sort the trust ou

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