The decision to base Shropshire's A and E in Shrewsbury was made at a meeting tonight.
It was the preferred option of health bosses.
But many people in Telford are furious their A and E will change status.
The leader of Telford & Wrekin Council is requesting an Emergency General Meeting to consider referring the decision to the Health Secretary.
The Royal Shrewsbury Hospital is to become the main 24/7 A&E hospital for Shropshire.
The decision was made unanimously tonight at a meeting of health bosses.
This means that the Princess Royal Hospital in Telford will become a dedicated Planned Care site and the Royal Shrewsbury Hospital in Shrewsbury will become a specialist Emergency Care site.
The CCG says this will offer better care for patients, with the most serious cases treated on one site, and beds on a separate site protected for planned operations.
And £312m will be released from the Treasury to develop both locations.
Today marks the dawn of an exciting new era for our hospital services. We understand that people have concerns and the numbers that attended the meeting today highlights just how passionate people are about the NHS.
But the leader of Telford & Wrekin Council has said tonight he will call for an Emergency General Meeting next month for the Council to formally refer the decision to the Health Secretary.