The changes which will see the A&E department and maternity services at Lewisham Hospital in south east London both downgraded are part of a shake-up of services in the capital after the financial collapse of a neighbouring NHS trust.
The overhaul was proposed by a special administrator in response to nearby South London Healthcare NHS Trust going into administration after it started losing around £1.3m a week.
The Health Secretary Jeremy Hunt rejected a plan to replace Lewisham's A&E unit with an "urgent care" centre, but accepted the recommendations of a further review by NHS medical director Sir Bruce Keogh that Lewisham should have a "smaller A&E service with 24/7 senior emergency medical cover."
The unit will continue to see up to three-quarters of those currently attending Lewisham A&E.
More top news
Dull and damp for many - with some sunshine in the north & west
Spell of warm weather on the way and will see hay fever season swing into action over coming days with high to very high pollen levels.
Four years ago, there was only a few lifevests on the Greek island of Lesbos - now there are thousands.