Intended for healthcare professionals


Four emergency departments in London to be downgraded

BMJ 2013; 346 doi: (Published 21 February 2013) Cite this as: BMJ 2013;346:f1200
  1. Adrian O’Dowd
  1. 1London

Local NHS commissioners have taken the controversial decision to downgrade four emergency departments in London despite strong resistance from local doctors, the community, and a local authority.

Following public consultation, a business case was made for the Shaping a Healthier Future programme, which concerned the provision of healthcare in North West London.1 NHS North West London’s joint committee of primary care trusts (JCPCT) has agreed with all recommendations made in the business case report, confirming its decision on 19 February.

The decision means that emergency departments at Charing Cross, Central Middlesex, Hammersmith, and Ealing hospitals will be downgraded to urgent care centres, while an additional £190m (€220m; $290m) will be invested …

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