Four wards at Nottingham City Hospital could close due to a funding shortfall of �15m. Nottingham City Hospital NHS Trust has admitted it has to make drastic savings because of a change in the way the NHS funds care.
Wards which treat stroke victims, women undergoing breast surgery and people suffering from gastro problems will all be affected.
Provision for emergency admissions will also undergo some changes.
Heath officials plan to close James Ward, a surgical ward specialising in breast cancer operations. Chief executive Gerry McSorley said: "Patient safety is a key issue for us and we've done a significant amount of work making sure that patient safety is still preserved.
"What we're showing in these proposals is that we can manage this properly and safely.
"But we do want to hear other people's views now before the board makes its final decision."
Under the current proposals, stroke patients would be treated together at all stages of the condition including recovery, rather than in separate acute and rehabilitation departments.
People with chest pain would also be treated alongside those suffering more serous coronary complaints.