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A spokesperson for Merton CCG, said: "The NHS has for several years been trying to move more care out of hospital and treat people closer to home, in response to an ageing population in which more people are living with long term conditions.

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In addition to this Epsom and St Helier, Croydon, Kingston and St George's NHS trusts have to identify 360m worth of savings over the same time period.

A meeting was held on Thursday to discuss Merton's plans for implementing the five year strategy.

The publication of the draft strategy is the first in a two stage process.

Firstly it will be discussed for approval by each of the six CCG governing bodies over the next few weeks.

A healthcare centre featuring two GP practices, physiotherapy, minor surgery wards and x Converse Dark Blue High

instead of one?

and NHS Merton Clinical Commissioning Group (CCG) has stated there are plans for a similar facility in Mitcham.

She said very little detail has been revealed so far on how the strategy will be implemented.

The second step is to agree on the detail including how trusts will deliver it.

The formation of SWLCC comes only months after the break down of Better Services Better Value, a healthcare review designed to cut costs across the area.

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"How can this be done without making significant cuts? 'Consolidating services' is the rhetoric.

The unpopular review had recommended the cutting of major services to St Helier Hospital before it was abandoned.

A draft strategy from newly formed South West London Collaborative Commissioning (SWLCC) was published last week stating there is a predicted budget shortfall of 210m over the next five years shared between clinical commissioning groups working in Merton, Sutton, Wandsworth, Croydon, Kingston and Richmond.

"The plans of our local acute trusts all exceed Converse Trainers Blue 2.5 per cent. Again, it is a question for the trusts how the savings will be achieved if they do not succeed with their cost improvement plans."

The document has emphasised community care opposed to hospital care could provide major cost savings.

ray facilities is under construction on the former Nelson Hospital site in Kingston Road Converse Gold Glitter

"St Helier needs money spent on the building."

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The suggestion that providing services "closer to home" will somehow be cheaper is nonsensical. How can it be cheaper to provide a service in six locations Converse Brown Boots

A SWLCC spokesperson said: "The assertion about the likely achievability of the trusts' savings plans is based on the view of Monitor and the Foundation Trust Network that cost improvement plans higher than 2.5 per cent of a trust's budget are likely to be difficult to achieve.

She said: "We are going round in circles.

A spokesperson for Merton CCG, said: "The NHS has for several years been trying to move more care out of hospital and treat people closer to home, in response to an ageing population in which more people are living with long term conditions.

Keep Our St Helier Hospital campaigner Georgia Lewis said: "The strategy document cites a 210m funding gap and 126m worth of savings coming from acute services that means A departments.

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Among those who attended was Lower Morden Residents' Association member Sally Kenny.

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Half billion pound NHS cuts in southwest London branded 'unachievable' From Richmond and Twickenham Times

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It should be pointed out that the BSBV review, and indeed this latest "draft plan" are largely based on the so called "London Quality Standards", which BSBV previously admitted on twitter were not achievable across five sites, even with unlimited funding. There simply are not enough consultants to meet them.

"It just means fewer A departments. It has happened at Hammersmith Hospital and it can happen here too."

This set of "standards" (which incidentally are not mandatory), have I believe been drawn up with the specific intention to be used as a mechanism to close all but a handful of London's hospitals.

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