NHS bosses in the region covering Hertfordshire have declared there will be no more closures of A&E or maternity departments.
The NHS East of England says it will 'support no further closures' in its vision statement document 'Towards the best, together'.
However, the policy comes too late for Hemel Hempstead's A&E department, which will be replaced by a urgent care cent
re next year, or full maternity services, which closed in 2002.
In a statement the NHS East of England said decisions around Hemel Hempstead Hospital would not be revisited.
"Our vision 'Towards the best, together', published in May this year, clearly states that the NHS in our region will support no further closures of A&E or maternity units," the statement says.
"The units referred to in west Hertfordshire were decisions made last year, locally in Hertfordshire, and supported by (Herts County Council's] overview and scrutiny committee.
"The vision is based on a sustainable future for all 17 acute trusts in our region delivering both A&E and maternity services.
"It does not, and will not, reopen recent consultations and decisions.
"Local people have already spoken on those matters and this vision respects those decisions.
"The services decided by the NHS for A&E and maternity in Hertfordshire trusts deliver against the promise made in our vision."