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Huge changes decided for NHS NW London

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You've probably been reading about some of the massive changes about to hit the health system in North West London and may have contributed to the consultation exercise or attended some of the roadshows. Now the decision has been made and the summary is here  and the full gory details are   here . At least two major hospitals will be downgraded over the next three years: Northwick Park will remain a major hospital in this area with a new large A&E serving a huge area but Central Middlesex, Charing Cross and Ealing are being downgraded and some of their services moved elsewhere and the Hammersmith also faces major changes.  A lot of hospital work will be moving out into the 'community' - wherever that is - and it remains to be seen how and where that is to be accommodated and who delivers it and will the resources really be there.There is an aspirational   Brent Out of Hospital Plan . If we haven't had enough meetings and papers this year, there will be many mo