A ROW between GPs in Huddersfield town centre and outlying areas has flared up again with a new report.
Family doctors and nurses in central Huddersfield want one management board to organise community medical care and commission hospital treatment for patients.
But GPs in the Colne, Holme and Dearne valleys want to remain independent.
Just 18 months ago the battle seemed over, with the formation of one NHS primary care trust for central Huddersfield and another for the south Huddersfield area.
Now, a report from the Audit Commission, the national public spending watchdog, recommends one board.
Rob Napier, chairman of Huddersfield Central Primary Care Trust, said officials of the two trusts had met to discuss the report.
But South Huddersfield PCT executives had rejected the idea of one trust to cover the area.
However, Mr Napier said: "It would be in the interest of our patients, staff and stakeholders if we proposed a merger."
The report was part of the agreement with the Government when the trusts were formed. Whitehall wanted a review within 18 months of the trusts' formation.
The Audit Commission report said the way the trusts were set up was "unsustainable and will not be effective or efficient in the long term".
Mr Napier said officials of Huddersfield Central PCT who wanted a single trust were putting their jobs on the line.
"Executive directors and so on were voting for one trust, although they would have to apply for their own jobs. That's how much they believe in a merger."
A statement from South Huddersfield PCT said:
"All the issues raised in the report can be dealt with within the existing PCT structure. The result will be a significant improvement in the effectiveness of both trusts and the development of healthcare."