- The document discusses proposed changes to hospital services in Shropshire, Telford and Wrekin to ensure quality care can continue to be provided. - The proposals include moving some services between the Royal Shrewsbury Hospital and Princess Royal Hospital in Telford to concentrate specialist resources. - Feedback is sought on specific services like maternity, children's care, kidney/bladder problems, and stroke care to place them in the hospital best able to provide it.

1. Tell us what you think aboutKeeping hospital services in Shropshire, Telford and Wrekin

3. Our ideas for change We think this would make sure both hospitals keep giving good, safe care to their patients. What these changes would mean for patients: Both hospitals would have an accident and emergency department that is open all day and night.

6. Local services for local people There are already some specialist health services that you cannot get from local hospitals. This is because we could not run these well so people have to go to other hospitals to get them. We want to make sure this does not happen with any more services.

7. Local services for local people Doctors training has changed so that they look after people more with certain illnesses. This means that they cannot always care for people with all illnesses and injuries. We need to make sure the right doctors are available to look after patients all of the time. These are our ideas for specialist services in the Royal Shrewsbury Hospital and the Princess Royal Hospital in Telford.

8. Local services for local people Better care for people who need operations Each hospital would have doctors who are really good at certain types of operations. This would mean that there would always be someone at the hospital who could do the operations people need. We think the best idea is to have the most urgent operations at the Royal Shrewsbury Hospital.

9. Local services for local people Most operations when people do not need to stay in hospital would still be done in Telford and Shrewsbury. We can do this better if it is done at 1 hospital instead of 2.

10. Local services for local people Better care for women who are having babies The maternity building at the Royal Shrewsbury Hospital is old and small. It is difficult to look after women safely there if they have problems when their baby is born. There is also not enough room to look after babies properly if they need extra care after they are born. Even if we did lots of work on the building, it would not be a good place for doctors to look after mothers and babies who need extra care.

13. for care from special nurses called midwives

14. to have their babies if they are low risk.With the money available, the maternity building would have to be at the Princess Royal Hospital.

15. Local services for local people The right care for children in hospital It is really difficult to have enough staff to look after children in 2 hospitals. We think children who have to stay in hospital overnight would get better care if they all went to the one hospital. Our work has shown that this would be best at the Princess Royal Hospital.

16. Local services for local people Both hospitals would still be able to check children to see what is wrong with them. We plan for all children who need to stay in hospital overnight to go to the Princess Royal Hospital.

17. Local services for local people Good services for people who have problems with things like their kidneys or bladder At the moment we are trying to work out which hospital would be the best place to care for people who have problems with things like their kidneys or bladder. We are asking people what they think about this.

18. Local services for local people Services for people who have had a stroke A stroke happens when the blood stops getting to your brain. People who have a stroke often have problems with their speech, movement or memory. We are asking what type of services people need when they have a stroke. This will help us make sure they get the best care. We want to know what you think.

20. patient groups

21. a group of people who work in local health services and in health services from other areas.

22. Involving doctors, nurses and patients They may not all agree with everything but generally doctors think we need to make these changes. We want to use these ideas to make sure we have good, safe local services for many years. We are not making changes to cut services or save money.

23. Travel and transport Although most patients will still go to their local hospital, some people might have to travel further. We need to make sure it is easy and safe for people to get to the hospital quickly.

25. making sure children are taken to the hospital that can give them the best care especially at night