The NHS's North West London trust has recommended four A&E departments be closed.
The units in Ealing, Central Middlesex, Charing Cross and Hammersmith could be downgraded to 24/7 urgent care centres.
The new proposed plans would see other major hospitals take A&E patients, peforming both emergency and elective operations, as well as running tensive care units, psychiatric liaison, inpatient paediatrics and a maternity unit.
The hospitals tasked with taking on the extra burden are Chelsea and Westminster, Hillingdon, Northwick Park, St Mary's and West Middlesex.
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A lamp in the tower which houses Big Ben is to be switched off for the first time in more than 70 years.
Sir Bruce entertained audiences for more than seven decades.
Work in the tower will also pause over the bank holiday weekend.