Hundreds of patients with kidney problems no longer have to go to hospital for treatment.
Renal patients across North Kirklees have been asked to attend clinics at health centres in Batley, Heckmondwike and Dewsbury instead of going to Dewsbury and District Hospital.
Hospital chiefs have relocated the consultant led clinics for 236 patients as part of the care closer to home plan, given the green light by the Health Secretary earlier this year.
The move is the first stage of a major overhaul of services, which aims to reduce hospital admissions and remove 70% of the beds.
Patients needing dialysis or living with a transplanted kidney will continue to attend Dewsbury Hospital.
NHS Kirklees Clinical Commissioning Group (NKCCG) said it had worked with Leeds Teaching Hospitals NHS Trust, the service provider, to arrange the outpatient clinics at Batley Health Centre, Brookroyd Surgery, Heckmondwike and Healds Road Practice, Dewsbury.
The CCG’s Chair, Dr David Kelly, said: “One of the CCG’s key aims is to deliver as much care as possible at, or closer to, people’s homes, ensuring that services are more accessible and convenient.
“I am really pleased and proud that we can now add renal clinics to a growing list of healthcare services being offered in community settings rather than at hospitals.
“I am sure patients will benefit from having appointments at clinics closer to their home as well as from the overall service improvements that will be in place later in the year,” he added.
NKCCG said it would be appointing a new renal nurse practitioner and boosting training for GPs and practice nurses, to try and improve early diagnosis rates for renal disease.
Clinicians will also be able to seek specialist advice more quickly in a bid to avoid unnecessary referrals to hospital.
All patients affected by the change have been sent a leaflet telling them about the new community clinics.
