Challenges facing small acute NHS hospitals

The initial focus of this call for evidence is on smaller acute NHS providers with an annual income of £300 million or less. However, Monitor would like to hear from acute providers of all sizes, as this will help determine if smaller providers face significantly different challenges to larger ones.

Monitor is looking for evidence on:

• whether smaller non-specialist acute providers are facing particular difficulties in delivering high-quality, sustainable services
• factors that may affect providers’ ability to deliver high-quality services to patients or to respond to issues
• the opportunities they have to address potential challenges and to demonstrate innovative, high-quality service delivery
• whether factors other than size may pose challenges to providers