The Health Secretary has approved plans to close “vital” hospital services, which will cost lives, an MP has said.

A long-running review of NHS services in Greater Manchester and Cheshire ended yesterday with Alan Johnson’s endorsement of an independent panel’s recommendation to close maternity units at Fairfield in Bury, Rochdale Infirmary, Trafford and Salford Hope. Salford will also lose its neonatal intensive-care unit.

The Independent Reconfiguration Panel has also backed plans to down-grade Rochdale’s accident and emergency unit and end emergency surgery at Fairfield Hospital.

The changes are expected to happen within five years and are likely to mean more home births and deliveries in units staffed by midwives.

Paul Rowen, the Liberal Democrat MP for Rochdale, accused Mr Johnson yesterday of “wielding the axe” in Greater Manchester in a cost-cutting exercise. Tens of thousands of people had signed a petition against the closure of the hospital’s maternity unit, he said. “I am furious that we have been ignored.”

The reconfiguration panel said that local NHS trusts should consider creating stand-alone midwife-led units at Bury, Salford and Trafford. But the Royal College of Midwives said that midwifery staff might not cope with the work demands.

Margaret Morris, chairwoman of Salford Royal Hospitals NHS Trust, said that she was bitterly disappointed. “While we have always supported the principle of having fewer, larger maternity units and developing three major neonatal units, we believed that Greater Manchester would benefit more by retaining and developing services at Salford Royal,” she said.

Ministers defended the changes. Hazel Blears, the Communities Secretary and MP for Salford, said that she was “very pleased” that her constituency was in line to have a stand-alone midwife-led unit.

In December Ms Blears joined picket lines to protest over proposals to close the maternity unit at Hope Hospital, despite supporting the national policy on maternity changes. She said yesterday: “As a local MP I have made representations at every stage to ensure that babies can still be born in Salford, and this is still the case.”

The Department of Health said that the changes to the region’s emergency services would be supported by investment of £38 million. An additional £60 million will be invested in maternity, the department added.

Andrew Lansley, the Conservative Shadow Health Secretary, called on the Government to put the hospital cuts on hold until it could “produce the evidence to justify them”. He said: “These cuts have been justified on the basis of what are safe staffing levels, but in other areas similar-sized units are allegedly under no threat.”

Doctors said yesterday that the changes could save up to 30 babies a year, while NHS managers denied cost-cutting, saying that new services would require more investment, not less.

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