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10 September 2014 Last updated at 16:54 BST
Two hospital accident and emergency units in London have closed.
Hammersmith and Central Middlesex are being replaced with 24-hour urgent care centres, which care for walk-in patients as part of a re-organisation of the capital's health services which will see fewer - but bigger A&E units.
BBC London's health correspondent Karl Mercer spoke to hospital campaigner Gloria Wildman, Dr Ruth Brown from Imperial College Healthcare Trust, Councillor Julian Bell the Labour leader of Ealing Council and David McVittie, the chief executive of North West London Hospital Trust.