The medical director in North Devon says he is confident the transformation ahead is right for the people of North Devon. George Thomson said the outcome of the acute services review was that absolutely nothing here at North Devon District Hospital is closing. There had been fears services such as stroke, maternity and A&E would be lost from North Devon, but Mr Thomson said he hoped the latest outcome had been a reassurance to people.READ MORE: Health review says stroke, A&E and maternity services will stay in BarnstapleHe praised the tremendous amount of time put in by clinicians, including doctors, nurses, health professionals and managers, as well as analysts and accountants. I think the fact this clinician-led review came first, is why we have had such a positive outcome, he said. I absolutely understand how much of a concern this must have been and I have tried to reassure people as best as I was able.READ MORE: We have won the first battle say North Devon health campaignersMr Thomson said the announcement had been expected after the county council election in May, but the snap General Election had delayed things due to purdah. The next challenge will be to look at a transformation of staffing including phasing in a seven-day week across acute hospitals in Devon. As part of this, Mr Thomson said he wanted to see clinicians working to the top end of their professional registration.READ MORE: Hundreds join hospital red line demos around DevonThis could include, for example, looking at prescribing pharmacists joining ward rounds with consultants, freeing up time for junior doctors to work across units. It is a fact we dont have enough doctors in the NHS in England, said Mr Thomson. But there are lots of things pharmacist and nurses can do, that traditionally a junior doctor would do, such as giving IV antibiotics and prescribing drugs on the ward. Its about using our existing workforce in a smarter way so that we can continue to deliver a high-quality service.READ MORE: North Devon patients will get high quality care for years to come, says top hospital doctorThe acute services review, however, does not solve all of the problems faced across Devon, and the recommendations will need to be reviewed in more details. Mr Thomson said he did not underestimate the hard work ahead, and while costs still need to be saved, he confirmed there would be no staffing cuts. There will, however, be more shared clinicians across Devon sites, following in the footsteps of services such as ENT and cardiology.READ MORE: Prime Minister says local input crucial to review of services at North Devon District HospitalMr Thomson said the transformational process would begin immediately, and would be ongoing, with no set timescale. Medicine is always changing and I dont think the transformation will ever be complete, he added. But this is right for the people of North Devon, and the whole population of Devon, and I cant thank everyone enough who has been involved.