* Expand the services available in the community for older people and people with long-term conditions.
* Retain two Accident and Emergency departments, one in Halifax and one in Huddersfield
* Increase services in the community, support more minor surgery and alternative treatments that avoid the need for surgery. More initial assessments and rehabilitation following surgery to be done locally.
* Provide all planned in-patient general surgery and orthopaedics at the Calderdale Royal Hospital
* Transfer all emergency orthopaedics, general surgery and complex planned surgery to Huddersfield RoyaI Infirmary
* Increase the integration of services in local communities to keep children healthy and support them when they are unwell
* Provide in-patient children's services from the Calderdale Royal Hospital, supported by a short stay unit at Huddersfield Royal Infirmary
* Provide emergency surgery from Huddersfield RoyaI Infirmary, with facilities for children to recuperate there
* Increase the capacity of the community midwifery services, so that we can provide better care to vulnerable women and support well women to have a natural childbirth
* Provide a midwife-led unit on each hospital site
* Provide all obstetric in-patient care from the Calderdale Royal Hospital
* Increase the provision of gynaecology services in local communities
* Provide all in-patient gynaecology from the Calderdale Royal Hospital site
* Identify alternative locations for services provided from St Luke's Hospital at Crosland Moor, so that we can ensure that they are provided in modern and appropriate settings
* All day case, out-patient and Accident and Emergency contacts will continue in your local hospital
BRINGING services together in one place can mean medics are able to offer a bigger range of treatment.
So says Colin Hutchinson, consultant ophthalmologist and clinical director of head and neck services.
He said the Eye Unit, for example, had been able to develop a wider range of specialised services since amalgamation of the units in Calderdale and Huddersfield.
The department now serves up to 500,000 people across Calderdale, Kirklees and parts of Bradford.
This, says Mr Hutchinson, means health chiefs have been able to employ consultants with very specialised skills, and bring in better equipment.
Now, patients who need laser treatment for macular degeneration and surgery for retinal disease can be treated locally rather than having to travel to Liverpool and Manchester - as was the case three years ago.
Out-patient clinics and day-surgery for cataracts and some other conditions are provided in Calderdale Royal Hospital and Huddersfield Royal Infirmary as well as outreach clinics in Todmorden and Buttershaw, but all in-patient surgery and out-of-hours work takes place at Calderdale Royal Hospital.
The intention is to provide most treatment as near to people's homes as possible.
But facilities are centralised when it makes a difference to the quality of service and the safety with which it can be delivered.
Mr Hutchinson says: "From our experience, patients are more concerned about getting the most appropriate and safest treatment rather than the exact location of where they receive it.
"All the same, we are flexible and sympathetic when it comes to transport. This is important when services are centralised."
In 2002, after a consultation programme led by the former Calderdale and Kirklees Health Authority, a new ward was opened in Huddersfield to treat all of the cancer and haematology patients from both Huddersfield and Halifax.
This centralised service meant the medical teams could be developed so there are now three consultant oncologists working within the Trust and a total of three visiting oncologists from Leeds, for one or two days a week.
Consultant Johnathan Joffe said: "This has allowed the development of much higher degrees of sub-specialisation so that more than 90% of patients with cancer chemotherapy and similar treatments can be provided close to home within Huddersfield, rather than patients having to travel to Leeds - which is still the case for many patients in other hospitals in our region."
He added: "The centralisation of in-patient work has not prevented the majority of patients having their outpatient appointments and their outpatient chemotherapy treatments provided in Huddersfield or Halifax, depending on where they live."
He said because of the centralisation many more specialist nurses have been appointed who provide chemotherapy treatments and also the support for patients with particular cancers such as breast cancer, bowel cancer, lung cancer and gynaecological cancer.