THE "walk-in walk-out" centre (Ambula-tory Care Centre, ACAD) to be provided by gutting the ex-Kidderminster General Hospital's 1995 £14 million ward, theatre, ITU and outpatient block at a cost of £13.7 million, will be the first ACAD in the UK not on the site of an acute general hospital.

We have been told repeatedly by health authority and hospital trust "experts" that this is a well-tried and successful concept in America.

However, we now discover from colleagues fighting stand-alone ACADs in Glasgow that such units in America, run by the highly esteemed Veterans Health Administration, are permitted to carry out only minor surgical procedures on suitable patients unless "adequate emergency back-up services" are available "within 15 minutes rush hour driving time" with "readily available" ambulance services.

This is clearly impossible in Kiddermin-ster now.

RICHARD TAYLOR

Kidderminster Hospital Campaign chairman and Health Concern Prospective Parliamentary Candidate