Central Middlesex Hospital will lose its Accident and Emergency department, the Health Secretary has announced today.

Jeremy Hunt has revealed that the hospital in Acton Lane, Harlesden, will be downgraded alongside Hammersmith Hospital.

However the casualty departments at Ealing and Charging Cross will not close.

Mr Hunt said both hospitals should continue to have an A&E service “even if it is in a different shape or size” from that currently on offer.

He told MPs that further work was needed but he wanted to end the uncertainty surrounding the future of the sites, which have been examined during a review into health services in North West London since 2009.

Three Court of Appeal judges yesterday dismissed Mr Hunt’s claim that he acted within the law over a decision to downgrade A&E and maternity services at Lewisham Hospital in south east London.