Planning assumptions for changes in patient flows always carry uncertainty. The sequencing of implementation of the changes, with check points, by the TSA will be critical. The TSA must ensure there is no risk to patients by inadvertent under provision at hospitals receiving displaced Lewisham activity.

All our services are continuing to run as normal. If the Secretary of State does decide to make changes, it would take place over a three year period, and alternative arrangements would have to be in place first.