Health bosses at Whittington hopsital in North London claim their plan to close wards, axe jobs and sell buildings could be a template for a new kind of district general hospital.
They want it to put more emphasis on treating patients at home. And they also plan to cap the number of births.
The scheme has provoked widespread local opposition.
Our Political Correspondent Simon Harris has the full story.
More top news
There's been a sharp rise too in rape, burglary and robbery have during what police "busy and challenging time".
Police are looking for a man caught on a security camera before sentimental jewellery and perfume was taken from a pensioner's home.
"All it takes is for somebody to see me - and I could just die, just like that. I could want to go to the shop and not come home."