Powys Council's health chief has described plans for a radical shake-up of the county's hospitals as a "serious attack on the viability" of Llandrindod Hospital.
Llandrindod South county councillor Pete Roberts, who also holds the title of Cabinet Member for a Caring Powys - effectively the health portfolio - said the latest proposals appeared to abandon the health board's long-stated approach of providing services through north, mid and south Powys centres.
The County Times revealed on Wednesday that the latest proposals could see the number of inpatient bed spaces in the county more than halved. One approach would see the town retain inpatient beds but another would cut them.
The urgent care review could see the town's minor injuries unit removed, and x-ray services reduced to weekdays. Mental health services look likely to be centralised in Brecon.
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Cllr Roberts said: "Over the past 10 years Powys health board have always told us their focus is on delivering care through three centres: mid, south and north Powys.
"Their proposals today seem to have abandoned that approach."
Councillor Roberts warned that, under the worst-case scenario, Llandrindod Wells could be left without a range of key services.
He said: "In the worst-case scenario Llandrindod would be left without a minor injuries unit, without any overnight inpatient provision, without support in-house for mental health and older adult support."
He described the proposals as "a serious attack on the viability of our hospital in the long run" and questioned whether the community services intended to replace bed-based care could be delivered.
Councillor Roberts added: "It is based on the assumption that there will be delivery on many more services within the community. That is a serious risk.
"There is no clear evidence that these community teams will be able to be established and there is no clear evidence that they will actually deliver."
He also warned residents could ultimately face travelling outside Powys for urgent treatment.
"We are faced now with the real prospect of having our nearest emergency care not in town but in Hereford," he said.
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