Mothers, children and patients last night staged a candlelit vigil outside a Worcestershire hospital threatened with cuts to services.
The protest took place out-side the Alexandra Hospital in Redditch where the maternity and children's units face closure and the accident and emergency provisions may be reduced.
The proposals, which include surgical activity moving to the Worcestershire Royal Hospital, are part of a £20 million cost-cutting exercise by the Worcestershire Acute Hospitals NHS Trust.
The trust hopes to make the cuts by next April. Board members agreed to forge ahead with a detailed analysis of its findings before producing the final proposals. A 12-week public consultation exercise is set to begin in early January.
A spokesman for the 'Save the Alex' campaign said: "The vigil was aimed at sending a clear message to Worcester-shire NHS Trust that users of the Alexandra Hospital will not accept cuts in their health care provision."
The chairman of Worcestershire Acute Hospitals NHS Trust, Michael O'Riordan, warned it "would not shy away" from making unpopular decisions. He said he had spoken directly to hundreds of people from Redditch and Bromsgrove as well as hospital staff and that would continue.