Mayor of Bedford Dave Hodgson has urged Bedfordians to speak out now to protect key hospital services before it is too late.
Health chiefs have produced a 'discussion paper' on the future of Bedford, Milton Keynes, and Luton & Dunstable.
• Reducing paediatric care at two of the hospitals, and concentrating care for the most unwell children at one of the three sites.
Mayor Dave said: "We need to speak out as a community against these proposals before it is too late.
"They could mean the end of Bedford Hospital as we know it, and it is only by delivering a resounding message that we will not accept it that we will succeed in changing minds.
The BLMK Discussion Paper has been produced as part of the Bedfordshire, Luton and Milton Keynes Sustainability and Transformation Plan (BLMK STP).