Plans to change services at Epsom and St Helier trust in Surrey are 'fatally flawed' and could lead to the closure of Epsom General Hospital's accident and emergency department and intensive care unit, according to London Health Emergency and Unison. In a joint report they claim that the plans to shift maternity, paediatrics and women's health services are merely a 'staging post' to an ultimate goal to create one single-site hospital in Sutton.