Stroke services will be centralised in Carlisle in a hyper-acute stroke unit, health bosses have decided.
The new unit would be staffed by specialists seven days a week, and a transient ischemic attack service will also be considered to run alongside it.
Ambulances will take patients directly to Carlisle, with west Cumbrian patients then being sent to acute stroke and rehabilitation facilities at the West Cumberland Hospital if further care is needed.
The Royal College of Midwives says it's concerned NHS chiefs have only given twelve months to assess the sustainability of the services.
Mothers and campaigners across west Cumbria have been left angered by the decisions made by NHS chiefs on the future of health services.
All of the inpatient beds at cottage hospitals in Alston, Maryport and Wigton have been axed and reallocated by health bosses.