The Lewisham's A&E unit effect

SO Lewisham's A&E unit WILL BE DOWN SIZED , the change will I fear, still have a hard impact on health services in the and indeed the whole NHS for that matter. The officials say that the plan to change into a so called urgent care centre has been stopped by the minister responsible But be under no illusion the A&E dept currently a major type one unit will still being downgraded. Thus only 25% of the patients using the unit are likely to be affected the rest will still be able to get treatment need from the new service post reorganisation. But the absence of they 25% must in my view have a profound impact. They are the sickest, most urgent cases who are brought to hospital in ambulances etc . Without them Lewisham hospital will not need its critical care dept and a host of other associated services. Hospitals are highly complex and interlinked organisations, taking away one thing has a ripple effect upon rest of the hospital. If this can be done to a general hospital can the same not happen to others such as those dealing with MH ?