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The GuardianSource report

Bigger does not always mean better in hospital care | Letter

For some medics, working at a large centre means for the same pay you don’t have to work so hard, writes Dr Paul Godwin The closure of maternity units is always a temptation when the NHS runs into staffing problems, largely of its own making ( Up to 20 maternity units in England may have to shut, NHS leader warns, 19 October ). In my area the quality of care has already been called into question at the largest local unit, and directing mothers to chance their luck there seems to be an undeserved reward. Likewise a nearby large trust has had the quality of its neonatal care called into question. Closing small units is unlikely to provide the quality gain that is sought. Continue reading...

The GuardianSource report

‘You are set up to fail’: homeless people say system in England is broken and they need help

As Andy Burnham hosts a rough sleeper summit, frustration mounts over ‘ridiculous bureaucracy’ and lack of hostel places Martin Fletcher had been homeless for more than 20 years after being made redundant before he finally got accommodation in Sunderland in 2024. What was the one thing that finally ended his rough sleeping and sofa surfing? “My mindset, mainly,” the 61-year-old said. “The realisation that I was getting old and I couldn’t live like this for ever. And also help from a charity who didn’t judge, who didn’t bombard me with forms – they made me a cup of tea and built up a picture of what I needed and helped me get back on track.” Continue reading...

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