title: Service design. Sink or swim.
abstract: Small hospitals are struggling to remain independent of large centralised facilities. They are employing imaginative solutions to retain key services. Historical barriers to these solutions are diminishing.
authors.forename: Alison
authors.initials: A
authors.lastname: Moore
mesh_terms: D002497:Centralized Hospital Services; D017598:Efficiency, Organizational; D006276:Health Facility Size; D006754:Hospital Restructuring / Q000379:methods; D006767:Hospitals, District / Q000458:organization & administration*; D009936:Organizational Innovation; D013222:State Medicine; D006113:United Kingdom