Bigger does not always mean better in hospital care | Letter

For some medics, working at a large centre means for the same pay you don’t have to work so hard, writes Dr Paul Godwin

The closure of maternity units is always a temptation when the NHS runs into staffing problems, largely of its own making (Up to 20 maternity units in England may have to shut, NHS leader warns, 19 October).

In my area the quality of care has already been called into question at the largest local unit, and directing mothers to chance their luck there seems to be an undeserved reward. Likewise a nearby large trust has had the quality of its neonatal care called into question. Closing small units is unlikely to provide the quality gain that is sought.