On Wednesday, a federal judge in Memphis ordered Rutherford County to conduct a final inspection on the building, setting aside a local judge's ruling from June that voided a planning commission's approval.

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The hospital responded saying the inspection had been carried out when the whole local healthcare system had been extremely busy and there was a shortage of beds in all acute hospitals and onward care within the community.

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Community Health Councils are local bodies, which, since 1974, have had powers of inspection over hospitals and health clinics.

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He said the local authority had been aware of the need to make changes before the Ofsted inspection, and work had already started to improve Children's Services.

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