ITV Border has seen a letter from the North West Ambulance Service (NWAS) raising concerns about proposals to downgrade maternity services at the West Cumberland Hospital.
The North, West and East Cumbria Success Regime wants to replace the consultant-led unit at the West Cumberland Hospital with a midwife-led unit. If the proposal goes ahead hundreds of high-risk women will have to travel to Carlisle every year to give birth.
The letter, dated 19 December 2016, says the NWAS does not believe the preferred option "delivers a clinically safe transfer package for high acute patients."
But NWAS told ITV Border on Wednesday evening it now "fully supports" proposals to turn the West Cumberland Hospital into a midwife-led unit:
A three-month consultation into various proposals for healthcare in North, West and East Cumbria ended in December. A final decision is due in March.