The Shaping Health for Mid Kesteven Consultation on the future provision of services at Grantham Hospital has received 568 responses to date.
Five areas of healthcare feature in the consultation – the midwifery led birthing unit, accident and emergency/out of hours, acute medicine, planned care and children's services.
The most significant recommendation is for the closure of the birthing unit, which opened in 1999, and has seen a significant decline in births - with just 100 last year.
The service would be relocated to a hospital with an obstetric unit such as Lincoln, Boston, Nottingham or Peterborough.
The antenatal and postnatal care at Grantham will be unaffected.
Other proposed changes are:
Refurbishing parts of A&E and creating a walk-in 'Care Centre' – bringing together A&E and GP out of hours services - available 24 hours a day, seven days a week. This will include the addition of two dedicated children observation bays.
Redesigning the delivery of acute medical services, currently provided within the emergency assessment unit as an inpatient stay. This will include some patients being diagnosed, treated, and/or cared for at home by an integrated mobile outreach team.
Improving planned care - clinical treatment planned in advance as either a day case or short stay in hospital. This will include creating one-stop clinics where patients will be seen and treated in one visit and increasing the provision of day case surgery and outpatient appointments.
The Kingfisher children's services unit becoming a hub responsible for co-ordinating all local children's health services, including nutrition, speech and language, autism, developmental delay, dermatology, diabetes and Attention Deficit Disorder.
Campaign group SOS Grantham Hospital has launched a petition against the proposed changes.
It is calling for the return of a fully operational A&E Unit with only exceptional cases being transferred, a consultant-led maternity unit, provision of an Acute Stroke Unit, and the provision of patient and carer transport.
The final public information event about the issues contained in the Shaping Health for Mid Kesteven consultation document is being held at Asda in Grantham on Tuesday, February 5th, from 1pm to 6pm.
The consultation period will finish on February 20th and people can make their comments online at www.lincolnshire.nhs.uk.
The board of NHS Lincolnshire/South West Lincolnshire Clinical Comissioning Group will consider the outcome of the consultation in April.