Lewisham appeal will decide which local commissioners can veto reconfigurations

BMJ 2013; 347 doi: (Published 20 September 2013) Cite this as: BMJ 2013;347:f5754
  1. Clare Dyer
  1. 1BMJ

England’s health secretary, Jeremy Hunt, will argue in the Court of Appeal next month that if the High Court ruling stopping him downgrading services at Lewisham Hospital is upheld, local commissioning groups with a vested interest in the status quo will have a veto on NHS service reorganisation.

Mr Justice Silber ruled at the High Court in July that one of the tests for reconfiguration had not been met because commissioners in Lewisham, south east London, who commission 70% of services at the hospital, were hostile to the proposals.1 Hunt had argued that …

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