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Alternative suggestions and mitigations

1.253 Consultees proposed several further alternative suggestions or mitigations, including:

  • expanding community-based services, mobile clinics and GP-based procedures.
  • developing week-long, multi-specialty clinics at each hospital.
  • enhancing digital infrastructure and virtual care capacity.
  • introducing direct inter-hospital transport links or patient transport services.
  • exploring cross-border pathways into England where transport links are stronger.
  • creating community-level ICCs.
  • aligning service change with capital investment and workforce incentives.
  • reviewing and reducing the management structure, enabling more funding for the direct provision of care.
  • maximising patient choice and flexibility, for example by allowing those who are willing to travel further afield to do so.
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