Doctors in a Worcestershire hospital have set out their intention to keep a full A&E and maternity services at the Alexandra Hospital in Bromsgrove.
A report in the Bromsgrove Standard said a prospectus of services has been released by Redditch and Bromsgrove Clinical Commissioning Group - responsible for buying health services for the two areas - outlining what they want provided at the Woodrow Drive site from 2014/15 onwards.The document, which all CCGs have to produce by law, is based mainly on the existing range of services the Alex currently provides including a full A&E and consultant led maternity unit, both of which are under threat as part of the review of hospital services.
The public are being asked to comment on the plan which will be compared against the two options for the Alex - keep it as part of Worcestershire Acute Hospitals NHS Trust or allow another provider, likely to be University Hospitals Birmingham, to take it over - which are currently being independently scrutinised.
But doctors have warned services may still be lost as it is unclear at this stage if there is another provider able to deliver them.
As part of the ongoing review of hospital services it has already been accepted WAHT can only provide one centralised A&E, maternity unit and overnight paediatric service for the county at the Worcestershire Royal.
But Commissioners say maintaining a full maternity unit at the Alex is viable as Redditch has a growing young population and there is potential to take more births from South Birmingham and ease the pressure on Birmingham Women's Hospital which had to turn over 500 women away last year because of capacity issues.
A standalone midwife led unit has been ruled out on safety grounds.
Downgrading the Alex's A&E to an urgent care centre has also been questioned on the grounds of capacity and transport issues. While doctors say they want a 24/7 service they would be willing to consider a 14 hour A&E similar to that already running elsewhere in the country.
The document states: "Our duty as a CCG is to secure the provision of the best possible range of services for our population. We are of course mindful our decisions may impact on the wider Worcestershire and West Midlands health economies, but this process must be focused on the best overall solution for patient services, irrespective of provider."
Neal Stote, chair of the Save the Alex campaign, said: "We are pleased to see our GPs have listened and are seeking to secure key services in line with their patients wishes. The reality of whether this is possible is another question given the very real problems the NHS as a whole is battling with, but it's right the question should be asked."
"STA will continue to push our local NHS to ensure all options for the Alex are explored and as a minimum both options are fully worked up and put to the public.
"Anything less would be a betrayal of Worcestershire NHS mantra at the start of this process 20 months ago 'no decision about me without me'."