Not everyone shares your view of the STP plans and the reduction in services associated with integration and rationalised primary care. On the ground some of us see that patients with stroke/ heart attacks are to be dispatched directly to a 'specialised' hospital many miles away via traffic congested roads because only 1 of three hospitals will continue with such a facility. Severe cuts are being disguised as improvements to service.
The proposed cuts in my area (West Yorkshire) will involve long travel times (up to 2 hours) on heavily congested roads, and an extremely long wait at an overloaded A&E - waiting times can be as long as 8 hours. There is little point in improving care quality if it is not reasonably accessible.