There's a difference between 'emergency care' and 'urgent care'. According to the glossary:

"Emergency care: Treatment for medical and surgical emergencies that are likely to need admission to hospital. This includes severe pneumonia, diabetic coma, bleeding from the gut, complicated fractures that need surgery, and other serious illnesses."

Urgent care is where the patient won't need admitting to hospital:

"Urgent care centre (UCC): A centre that is open 24 hours a day, seven days a week. These centres will treat most illnesses and injuries that people have which are not likely to need treatment in a hospital. This includes chest infections, asthma attacks, simple fractures, abdominal pain and infections of the ear, nose and throat."

An Accident & Emergency department deals with both types. The proposal (which was proposed 2(?) years ago and rejected) is to have an Urgent Care unit at Lewisham, and to have Emergency care elsewhere (Queen Elizabeth in Woolwich, although from s.155 below it seems some emergency cases are already/will continue at King's and St Thomas's).

From the draft report (http://www.tsa.nhs.uk/sites/default/file...T-WEB2.pdf) (bold is my emphasis):

"155. Emergency care for those suffering from a major trauma, stroke, heart attack and vascular problems should not change. The location for each of these services is:
• Major trauma services at King’s College Hospital;
• Hyper acute stroke services at Kings College Hospital and Princess Royal University Hospital;
• Heart attack services at St Thomas’s Hospital and King’s College Hospital; and
• Emergency vascular services at St Thomas’s Hospital.

156. .... the draft recommendation is that King’s College Hospital, Princess Royal University Hospital, Queen Elizabeth Hospital and St Thomas’s Hospital should provide emergency care for the most critically unwell. University Hospital Lewisham, Guy’s Hospital and Queen Mary’s Hospital Sidcup should provide
urgent care for patients that do not need to be admitted to hospital.

157. The urgent care services at Guy’s Hospital and Queen Mary’s Hospital Sidcup are already well established. The draft recommendation is for University Hospital Lewisham to have a 24/7 urgent care service that will treat around 77% of the people currently attending the A&E and urgent care services there. This is because the vast majority of patients with urgent care needs do not need to be admitted.

The types of conditions the services will be able to treat include:
• Illnesses and injuries not likely to need a stay in hospital;
• X-rays and other tests;
• Minor fracture (breaks);
• Stitching wounds;
• Draining abscesses that do not need general anaesthetic; and
• Minor ear, nose, throat and eye infections."

There are also proposals for maternity, and complex and non-complex elective surgery.