Sir Michael Rawlins, Chairman of the National Institute for Health and Care Excellence (NICE) since its inception in 1999 until last year, is now Chairman of a committee called "Future Hospital Commission" which has been promoted by the Royal College of Physicians. In September 2013 this committee issued its first report and I think it’s worth discussing.
For starters, it seems appropriate to pick up the 5 challenges that hospitals are facing nowadays according to a previous Royal College of Physicians’ report:
For starters, it seems appropriate to pick up the 5 challenges that hospitals are facing nowadays according to a previous Royal College of Physicians’ report:
2. Case mixe’s gradual and persistent advance towards chronic diseases and geriatrics
3. Difficulties of coordination and continuity of services for admitted patients.
4. Services of uneven quality in the evenings and at weekends
5. Imminent crisis of professionals and training of new professionals
To face these challenges, according to the "Future Hospital Commission", the hospitals should consider reorganization based on the following principles:

