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In the 1960s the development of district general hospitals threatened the existence of many of these small hospitals, but in 1974 the Department of Health issued a paper setting out its vision for community hospitals2 - and that view has not yet been formally superseded. This document suggested that community hospitals were needed to provide medical and nursing care, including outpatient, day patient, and inpatient care, for people who do not need the specialised facilities of district general hospitals and cannot be properly
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