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Health chiefs have voted unanimously to close Huddersfield Royal Infirmary's A&E department as part of hospital shake-up plans.

A Greater Huddersfield and Calderdale CCG board meeting at the Cedar Court Hotel at Ainley Top this afternoon voted unanimously in favour of the controversial Right Time Right Care Right Place proposals.

The shake up means that the current HRI hospital building on Acre Street will be demolished, with a smaller hospital built on an adjacent site.

The smaller hospital will not have an A&E, and instead patients from across Huddersfield will have to travel to Calderdale Royal Hospital in Halifax for emergency care.

Hundreds of members of the public attended the meeting with many protesting the proposals outside.

The decision was met with boos from the public and shouts of "traitor", "Judas" and "shame".

That's all from our liveblog

Our health reporter Dave Himelfield is interviewing Dr Steve Ollerton as we speak - keep an eye on to see what he had to say.

It’s a dark day for Huddersfield — but campaigners say the fight will go on and we will back them.

Full report from this afternoon's meeting

Here’s our health reporter Dave Himelfield’s report from this afternoon’s meeting - and the fury that followed

What happens now?

Health chiefs behind Right Care Right Time Right Place will begin to flesh out the plan.

Around May 2018 we will find out how Calderdale Royal Hospital will be expanded to cope with the greater influx of emergency patients.

Detailed information on the new, smaller Huddersfield hospital will emerge.

Health chiefs have estimated that a construction firm will be appointed in the first quarter of 2019 to build the new developments.

The new Huddersfield hospital and the expanded Calderdale Royal Hospital could be completed by 2021.

We will also find out how more services, currently delivered in hospitals, will be provided in community facilities and at home.

Statement from #HandsOffHRI Karl Deitch:

Posted to the Let’s Save Huddersfield A&E Facebook page:

Well it is a shock, but then again it isn’t.

But, It was hard to sit and watch & listen.

The fight goes on- we have some great people messaging me who want to be part of it.

WATCH: Reactions from the meeting

An emotional Paula Sherriff, defiant Karl Deitch and more

'Gutless heartless CCG'

Fighting talk from Hands Off HRI

Help the #HandsOffHRI legal campaign

Statement from CCG

Dr Steve Ollerton, GP and Chair of Greater Huddersfield CCG:

‘On behalf of the Governing Bodies and the CCGs, we would like to thank everyone who has taken part in the Right Care, Right Time, Right Place public consultation.

‘This has not been an easy process – but it has been necessary. We value the significant wealth of feedback that we have received.

‘As Governing Bodies, we have a duty to ensure the best quality care and health outcomes for the people of Calderdale and Greater Huddersfield and our priorities are to improve the quality and safety of hospital services, bring them in line with national care standards and make them sustainable, in terms of money and staffing, into the future.’

Dr Alan Brook, GP and Chair of Calderdale CCG:

‘We are facing significant challenges and we believe that these proposals would bring about the greatest overall benefits.

‘However, this next stage is an important step where we will be developing the detail and exploring how we take forward and look to implement the proposed changes as well as address concerns raised such as travel and transport.

‘As part of this we will continue to work closely with our partners and key stakeholders to support us in developing the full business case’.

The fight goes on

One thing's for certain:

#HandsOffHRI have done the whole town proud.

Keep fighting... we’re behind you

#HandsOffHRI wont quit

When Karl Deitch spoke to us (before the meeting), he detailed what the campaign would do:

What happens now?

Wondering what will happen next? Here’s a few questions answered

It's kicking off on Twitter

Should Jeremy Hunt visit Huddersfield?

The decision will at some point be put forward to the health secretary.

Many have put forward that Mr Hunt should visit the area and speak to local residents about the plan to close our hospital.

What would you say to him? Let us know (keep it clean...)

Health secretary Jeremy Hunt
Health secretary Jeremy Hunt (Image: Stefan Rousseau/PA Wire)

"What shocked me was that it was unanimous"

Karl Deitch has said: “I’m not that shocked.

“What shocked me was that it was unanimous.”

Paula Sherriff, in response, has said: “I haven’t spoken to a single clinician that says this is a good idea. I will continue to fight if we have to.

“Sadly, I do believe this will cost lives.”

We're live again - health reporter Dave answers your questions

MP Jason McCartney reacts

Barry Sheerman explains why he didn't attend

Few angry comments on Twitter about the Huddersfield MP’s absence, here’s his response:

'Wrong', 'a disgrace' and an 'absolute joke'

"This is not over"

Cllr Gemma Wilson has said: “This is absolutely not over.”

“I am absolutely staggered both CCGs voted the way they did - and disgusted.”

It isn’t. And we will continue to keep fighting.

We're live now from the meeting

#HandsOffHRI wont give up

Walk outs


Greater Huddersfield vote unanimously to support plan

Cries of ‘shame’ from audience

Now Huddersfield CCG will vote

Here we go. Calderdale are leaving the room

Calderdale CCG vote unanimously to support plan

Calderdale CCG asked to raise hands to implement plan

Lots of booing from audience

Greater Huddersfield CCG leave the room

... to allow Calderdale CCG to deliberate.

The audience have started chanted ‘Hands Off HRI’