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It is one of the most under-used maternity units in the country and the subject of two serious investigations into standards of care.
But the trust that runs Berwick Maternity Unit says it will remain open. Despite today's announcement, it is not clear what kind of facility it will provide
The future of Berwick's Maternity unit is still uncertain following a three month safety review.
Hundreds of people protested against the temporary suspension of births at the unit in August following a large fall in the number of mothers using it.
The nearest hospital is at least forty miles away.
Birth and post natal services will remain closed while Northumbria Healthcare NHS Trust considers two recommendations - either to continue the regular operation with extra mid-wives, or to operate a model used in other rural areas.
This model relies more heavily on home births and a community mid wife system.
Northumbria Healthcare NHS Foundation Trust have released the findings of its safety review and put forward two options for the future of maternity services at Berwick.
Some of the services at Berwick Maternity Unit were suspended in August after two serious incidents highlighted concerns over safe practice, as a result of the low number of births taking place in the unit - only thirteen from 2011 - 2012 - the lowest number in England of any comparable unit.
The suspension of services caused protest in the local community.
The Trust have put forward two options for the future of the unit - that either additional midwives should be employed despite the low birth rates, or that an on-call system should be put in place similar to that of other rural areas.
Maternity services at Berwick Hospital are up for discussion again after its NHS Trust released its recommendations for the future of the unit.
Some services will remain suspended until Northumbria Healthcare feel that it is safe enough for them to go ahead, but the unit will remain open to all antenatal, postnatal and consultant-led clinics for the meantime.