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[HEALTH] · Germany · 7 sources

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North Rhine-Westphalia hospitals face maternity ward closures

Hospitals in North Rhine-Westphalia are bracing for further closures of maternity departments due to federal reform plans and significant financial pressures. Matthias Blum, head of the North Rhine-Westphalia Hospital Association, reported that eight hospitals closed their maternity units in 2025, with three more closures already confirmed this year and two additional closures announced for other cities in the region.

Hospital administrations are currently developing austerity programs for 2027. Departments that are not economically self-sustaining due to insufficient compensation—including maternity wards, pediatrics, emergency rooms, and palliative care units—are at risk. Blum noted that the traditional practice of cross-subsidization is no longer viable under current federal spending constraints.

Financial challenges are compounded by the expiration of inflation compensation for clinics on October 31, 2026, and the federal GKV savings law, which mandates 4.6 billion euros in savings for hospitals. North Rhine-Westphalia hospitals alone could face a revenue loss of up to two billion euros next year, representing an average decline of eight percent.

The North Rhine-Westphalia Ministry of Health stated that the number of maternity clinics in the state has decreased from 153 in 2017 to 117 currently, but maintained that local obstetric care remains at a good level. The state government plans to continue supporting smaller maternity clinics with operating costs through 2026.

Entities

Matthias Blum · NRW Ministry of Health · North Rhine-Westphalia · North Rhine-Westphalia Hospital Association

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