The plan to close maternity, A&E and other services at Lewisham Hospital, and to dissolve the South London Healthcare Trust, is a test case for the government in its plans to dismantle the National Health Service. If the Tories are able in south London to get away with dissolving entire local trusts, reallocating essential services to other trusts or putting them out to tender for private companies, as well as shutting large sections of a heavily-relied-upon local hospital, they will feel able to carry out similar attacks elsewhere.