The House of Lords has blown a hole in local people's right to have a say if their hospital is closed - all eyes are now on the Commons.
MPs are gearing up for a furore as the government attempts to introduce a new law to fast-track hospital closures across the country, against the will of local populations.
The government is trying to push through a last minute change to the law to make it far easier to shut down A&E departments and hospitals aross the country without full consultation.