This is what the NHS Telford & Wrekin Board agreed at a meeting on Tuesday, September 22.

1. To note that the option of transferring some acute services from the PRH to the RSH from 2012/13 scored more highly than other options, including doing the reverse, on non-financial implications, had the lowest capital cost and the shortest construction period.

2. To note that all three options for a single site in 2020 (namely at the PRH, the RSH or a new hospital in between) have the potential to be technically and financially feasible.

3. Plans for implementing immediate measures to mitigate risk to providing sustainable and safe services (over the next five years) should be presented to the board at a special meeting before the end of September.

4. Not to consider two other 2012/13 options for dividing services in different ways between the PRH and the RSH.

5. To note that, for 2012/13, moving some acute services from the PRH to the RSH (Option 1) ranks highest on both a financial and non-financial basis than doing the reverse (Option 2).

6. Capital costs of both Options 1 and 2 should be reviewed to ensure they provide facilities which are fit for purpose and at the lowest possible cost.

7. Detailed plans for children’s hospital at home and the development of the paediatric assessment services at RSH and PRH should be drawn up and commissioned.

8. That a full option appraisal should be carried out on all three options for a single site within the context of the wider health and healthcare strategy across Shropshire and Telford & Wrekin.

9. To hold further detailed discussions on care closer to home with primary care, social care, the voluntary and independent sectors and other key partners to develop and agree detailed planning assumptions to inform the further assessment of the options for a single site.

10. That Option 1 for 2012/13 is compatible with all three 2020 single site options and that Option 2 is compatible only with the 2020 option of having the PRH as the single site.

11. (i) If immediate measures proposed to mitigate risks and sustain services are judged to be robust and are affordable (See 3 above) then both proposals for 2012/13 and a single site should got to public consultation in 2011.

(ii) If the immediate measuresÊaboveÊare not judged to be robust and affordable then 2012/13 Option 1 should be consulted on late in 2009, together with the principle of a single single site. Specific proposals for a single site shouldÊgo for public consultation in 2011.

Shropshire County Primary Care Trust also backed 12 similar recommendations, although for number three listed above it said plans for implementing immediate measures should be presented to the board at a special meeting in October. It also said that for number six that capital costs for the preferred 2012/13 option should be reviewed.