The whole of Lincolnshire could be served by one major A&E department and one maternity unit as part of a radical shake-up of the county's health service.
Meanwhile, a new children's unit could be built as a one-stop shop for paediatric care.
The plans are included in a new blueprint for how the county's health and social care services might look in future.
It includes a raft of proposals which are designed to save money, cope with an increasing demand for services and ensure patients are receiving the best possible care.
It comes after the director of NHS England Sir Bruce Keogh said patient safety was being compromised in Lincolnshire.
Among the ideas are:
Establishing a single main A&E department covering the whole county.
Setting up a network of "A&E Locals", which would consolidate the work of the current minor injuries units, primary care centres and urgent care centres.
Bringing the midwifery-led and obstetric-led clinics at Lincoln County and Boston Pilgrim on to a single site.
Consolidating the children's services currently on offer in Lincoln, Boston and Grantham and at outpatient centres in Louth, Gainsborough, Skegness, Spalding and Holbeach.
The construction of a "purpose-built paediatric unit" in a central location, such as Sleaford, to service the whole county.
The ideas come from the first phase of a Sustainable Services Review, which was launched to look at "how to provide more efficient services that are easier to recruit for and better co-ordinated, and make the best use of the funding and resources that health and care organisations have".
It is being conducted by the 11 groups responsible for health and social care in Lincolnshire, which together are facing a projected £105 million funding 'gap'. The group is chaired by Dr Tony Hill, the county council's director of public health.
He said: "If we don't sort this situation then people from outside will sort it for us.
"The health and wellbeing board can agree a way forward, drive it through and speak with one voice.
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"And the primary focus has been in maintaining the highest standards of public and patient safety."
The blueprint's authors say the project is in its infancy and that the options being suggested at the moment are not set in stone.
And while they accept that the project is designed to save money, they insist it will not lead to a reduction in service.
United Lincolnshire Hospitals NHS Trust said: "From April this year nationally and locally across health and social care, major change has taken place – and these changes will continue over the next few years.
"In response to these changes, Lincolnshire has embarked on a county wide review covering the whole of health and social care.
"A range of services are part of the review including urgent care, planned care, early intervention and long term care.
"The review is in its early stages and in October a health and social care summit was held.
"It involved 80 people from a range of organisations and patient representative groups across the county to discuss potential ideas that could be put forward.
"We have been involved in the work following the care summit and a blueprint has been developed which will go out to public consultation next year."
The review is being carried out by senior managers and elected members of the four Lincolnshire clinical commissioning groups, along with United Lincolnshire Hospitals NHS Trust, Lincolnshire Community Health Services NHS Trust, Lincolnshire Partnership NHS Foundation Trust, East Midlands Ambulance Service NHS Trust, NHS England Area Team, Lincolnshire County Council and HealthWatch.
The blueprint will be discussed at a meeting of Lincolnshire County Council's Health and Wellbeing Board on Tuesday, December 10.
The meeting is open to the public and starts at 2pm in Committee Room One, County Offices, Newland.