Families in North Yorkshire say they're disappointed after losing their fight to retain some of the current services at the Friarage hospital in Northallerton.
After a public consultation, plans will now be put forward to scale back paediatric and maternity services there.
Some doctors say patients would receive more specialised care from larger hospitals like the James Cook in Middlesbrough which, they say, would be safer.
But campaigners say they're worried that there would be no consultants on the maternity ward, and no overnight paediatric care.
They've vowed to appeal the decision which could be approved next week.
More top news
Ariana Grande fans from the North East have told how they were caught up in a terror attack which has killed at least 22 people.
Witnesses reported hearing a "huge bang" at the venue during the concert on Monday evening.
At least 22 people, including children, have died and dozens are injured after a suicide bomb attack at Manchester Arena