Good Hope Hospital is finally getting the financial shot in the arm it has been crying out for as part of Heart of England's £190 million plans to refurbish and redevelop its three hospitals.

A dozen new wards and more car parking, as well as a lick of paint for existing facilities, will provide Birmingham and Solihull with much-improved facilities.

That is the good news. Now, depending on how people perceive it, what some will argue is not good news.

The project comes at a price - a predicted loss of 300 beds across the trust's sites.

In the light of Lord Darzi's review of the NHS, changes to how health services are provided and how the public access them, are inevitable.

The increased use of day-case surgery means patients can spend less than 24 hours in hospital, freeing up beds more quickly than in recent years.

Community-based care models are the way of the future, enabling patients with chronic but manageable conditions to be treated in units closer to home.

Spending less time on a hospital ward also cuts the odds of patients being exposed to superbugs like MRSA or Clostridium difficile, enabling trusts to cut their infection rates.

Because the trust's finances are in rude health, it has not had to seek support from a private sector partner, thus enabling bosses to review and alter their plans at a later date, if necessary.

A number of hospitals operate "seasonal ward closures" which gives them the ability to cope with extra patients, particularly in the winter when patient numbers can increase significantly.

Critics who no doubt will focus on the 300 beds loss should concentrate on the bigger picture, because without investment our hospital services would stagnate, ultimately doing patients a disservice.