Some GP surgeries in Wakefield could be opening seven days a week, to ease the pressure on local hospitals.
It comes as health chiefs revealed more about the controversial shake-up of hospitals in the Mid-Yorkshire Trust. The A& E department at Dewsbury hospital will be downgraded, with care centralised at Pinderfields in Wakefield.
Some maternity and childrens services will also move to Pinderfields. But to take capacity out of the hospital, community services have to be sufficiently developed. Practices in Osset, Horbury and rural Wakfield have applied to take part in a pilot scheme.
Dr Phil Earnshaw, Chair of the Wakefield Clinical Commissioning Group says the changes will help to streamline the service:
Hospital chiefs have been setting out the framework for the radical shake-up of services across Mid Yorkshire.
Dewsbury's A&E department will be downgraded to a minor injuries unit, with emergency services centralised at Pinderfields hospital in Wakefield. Maternity services at Dewsbury will become midwife-led, with more women going to Pinderfields to give birth.
The children's ward at Dewsbury will also close, although a daytime assessment unit will open there. Children needing an overnight stay will be admitted to Pinderfields.
Overall 170 beds will be lost.
£20 million though will be invested in the Dewsbury site, giving it the capacity to care for 14,000 more patients. There will be an increased in planned surgery and outpatient care, plus community facilities.
The changes, which should balance the books of the trust, will be introduced over the next three years.
A pilot programme involving GPs in Osset, Horbury and rural Wakefield have also been revealed. Some surgeries will be open seven days a week. Services have to be sufficiently developed in order to reduce pressure on and take capacity out of the hospitals.
The Mid Yorkshire Hospitals NHS Trust says immediate action has been taken to address issues identified by the Care Quality Commission at Pinderfields and Dewsbury Hospitals.
Interim Chief Executive Stephen Eames said he would like to "apologise unreservedly to the patients and families of those whose care has clearly not been good enough." He said that incidents relating to the planning of care for patients were identified on a small number of wards in May.
And he added that while no harm had been caused to patients as a result of the issues identified, The Mid Yorkshire Hospitals NHS Trust did not tolerate poor standards and the issues had been dealt with. For the full statement, click here
The shortfalls at Pinderfields and Dewsbury and District Hospital are a real concern and we have told the trust where immediate improvements need to be made. We will continue to monitor the trust closely, to ensure that patients receive the service they are entitled to expect.
The Mid Yorkshire Hospitals Trust has been told it must make improvements at two of its hospitals to comply with national standards of quality and safety.
The Care Quality Commission says the improvements are needed following inspections in May at Pinderfields Hospital in Wakefield and Dewsbury and District Hospital.
The inspectors found that patients were not always receiving care and treatment that fully met their needs. The Trust says they've now drawn up an action plan to ensure both hospitals will meet all national standards.
Patients concerned about the proposed changes to hospitals in West Yorkshire are invited to meet with councillors in Dewsbury today.
Mid Yorkshire Hospitals Trust want to downgrade A and E services, among other proposals, in order to save £24m.
Kirklees Council has formed a joint health overview and scrutiny committee with Wakefield Council to look at the plans. This committee has the power to refer changes to the plans to the Secretary of State for Health if they feel the NHS is acting unfairly or unreasonably.
Kirklees Councillors on the committee will meet with residents and listen to their views at the Walsh Building on Town Hall Way in Dewsbury, between 3pm and 5pm.
Clerical staff at Pinderfields, Dewsbury and Pontefract hospitals started five days of strike action at midnight over changes to pay and jobs. Mid Yorkshire Hospitals NHS Trust needs to save 24 million pounds.