The BBC has seen draft plans which propose ward closures, cuts in bed numbers and changes to A&E and GP care in 44 areas. The plans, which are due to be signed off next month, are being drawn up by local health and social care leaders. Many remain unpublished even though up to 20% of beds may be closed. The role of community hospitals is being questioned, and the number of mental health inpatient sites could be reduced. There have been no consultations on the plans so far. NHS England needs to find £22bn in efficiency savings by 2020-21 while improving patient care at the same time. Pray for the think tanks which need to make ‘fundamental changes’. Pray for openness to public and political scrutiny, which so far has been lacking. In the past there has been reluctance from political leaders to address the way things are organised in the NHS.