London has witnessed a great deal of controversy in recent months as the Government sought to resolve long-standing financial and associated problems in the NHS in South London. A year ago, it appointed a Trust Special Administrator in an attempt to resolve the issues, but his recommendations sparked off an acrimonious campaign which finally led to a judicial review. On 31^st July, the High Court found in favour of the LB of Lewisham and the Save Lewisham Hospital campaign, and this Briefing Note seeks to outline those aspects of the judgment that may be of interest to Institute members.