This refoim will allow many local communities to keep their hospital facility, but with many of them providing a different and smaller set of services, coordinated with closely located hospitals, or specialising in rehabilitation and nuising. In addition, since 2015 as part of the drive to improve efficiency and quality of services, NHIF has restricted contracts for obstetrics and surgery departments when yearly volumes have been below 300 births and 400 complex surgeries. Lithuania has put a lot of emphasis on expanding primary care, outpatient and day care services.