The findings support the current acute hospital reform programme.
The Assurance Reviews found that small hospitals can't operate in isolation as stand alone entities – either clinically or financially.
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They also found that the development of maternity networks needs to be fast tracked.
The reviews were commissioned after the publication of a HIQA report into maternity services at the Midland Regional Hospital, Portlaoise – both South Tipp General and Cavan/Monaghan were selected as a sample of the country's maternity services.
