Under plans to shake-up NHS services, the Accident and Emergency department at the Alexandra Hospital in Redditch could be downgraded.
Worcestershire Acute Hospitals NHS Trust have put forward proposals that could mean some A&E patients are treated at Worcestershire Royal.
The trust said in a statement that stroke, major trauma and surgical emergency patients would be affected and could be treated at Worcester. That would be enhanced to deal with the more serious cases.
The Redditch site would remain operational, however, with about 75% of the current cases continuing to be treated.
Children's and women's services at Redditch may also be affected under plans to centralise care at Worcester.
All three of its hospitals in Redditch, Worcester and Kidderminster will remain open.