Hospitals and GPs surgeries across Great Yarmouth and Waveney are set to close following a governing body meeting of NHS Great Yarmouth and Waveney Clinical Commissioning Group (CCG) on Thursday.
The CCG agreed on recommendations designed to see more care given closer to home, which would also raise £4.3m per year and take pressure off James Paget University Hospital at Gorleston.
The plans would shape a more community-based model of care with out-of-hospital teams supported by 'beds with care' based in local nursing and residential homes.
The changes would mean the GP community units at various hospitals would close, including Northgate Hospital in Great Yarmouth, All Hallows Hospital in Bungay, Patrick Stead Hospital in Halesworth and Southwold Hospital.
The way the GP beds at Beccles Hospital are used will also change, with the site becoming an intermediate care facility to care for patients who have longer term medical or social care needs which need to be resolved before they can go home.
However hospitals are not the only units affected. During its meeting, the CCG's governing body also agreed to recommend the Shrublands site in Gorleston to NHS England as the potential new home for a primary care centre.
The centre would bring together Family Health, Gorleston Medical Centre and the Falkland Surgery, with all three practices working in one building.
And well as resolving major estates issues with the accommodation currently occupied by the practices, it is hoped that the move would also help them meet increasing demand as the local population grows by an estimated 3,500 over the coming decade.
The decisions follow two extensive public consultations, known as shape of the system, which took place earlier in the summer and asked for views on making substantial changes to the way services are commissioned.
Andy Evans, chief executive of the CCG, said: 'We are very grateful to everyone who took the time to come to one of our public meetings or respond to our consultation. We have thought hard about what we have heard and taken the respondent's views into account when shaping the changes we will make to local healthcare. We have changed how we are planning to implement these new services as a direct result of what we have heard during the consultation.'
In the first consultation, 53pc of people agreed that new out of hospital teams in the community should be introduced, however when asked about the loss of beds at each of the hospitals under threat, only 20pc or less agreed with the proposals.
The second consultation saw the Shrublands site as the favourite for a primary care centre, with 53.51pc people voting yes, 42.40pc said no and 4.09pc were unable to say.
The majority of people were against the other two proposed locations, with more than 87pc of people voting no to the James Paget University Hospital and 64.93pc of people against a new site at Beacon Park.
Mr Evans added: 'We are confident that the changes we are making will improve the way health services are delivered while meeting increasing demand and the challenges of caring for an ageing population with different needs.
'Developed in partnership with the public, our patients, colleagues from across the NHS and county and district councils, they will provide better joined-up care which is delivered in, or as close to, people's homes as possible.'
• Are you affected by the changes? Email geraldine.scott@archant.co.uk
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