All patients (50,000) from the Newark district have to travel a minimum of 25 miles to a hospital when we had a perfectly good service given by our own hospital in the town. The A&E as been down graded to what is known locally as a Bumbs & Bruises (B&B). The front line staff numbers have been cut. All this was done we believe without full consultation. Finally lives are being put at risk because of time and distantance and lack of ambulance cover. We are asking Andrew Lansley for a full review without sucess.