Clinical service reconfiguration is complex and driven by multiple factors, including clinical quality, finance, workforce and inequalities in access. Models of care which deliver a single clinical service over multiple hospital sites, theoretically offer the potential to maintain geographical access to services whilst delivering care, finance and workforce outcomes. This systematic review is the first to describe the evidence base for multiple site, single service (MSSS) models of care and highlights the current limitations of available research. A suggested set of outcome measures is proposed to guide planning, implementation and evaluation of future clinical service reconfigurations.
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