What will be the position on, for example, national requirements to consult on changes to, and closure of, services?
The Tories and the Liberal Democrats - who previously worked in coalition before the latter withdrew its cooperation - are associated with the closure of services such as local community centres, he points out.
Dr Hamish Meldrum, chairman of the British Medical Association, said: "When competition results in market failure in the NHS, the ultimate consequence is the closure of services and the restriction of choice for the patients who would have wished to use them".
In reality, this is a very significant fault line between the trust and the management – but especially director general Mark Thompson, who sees his own reputation taking a knock if the licence fee settlement he negotiated is seen to result in the closure of services.
Elsewhere there are talks of mergers between organisations or the closure of services to improve efficiency.
This often proves controversial with local people objecting to the closure of services, such as A&E and maternity units.
The plans could include the closure of services or private companies taking over the running of leisure centres, BBC WM political reporter Elizabeth Glinka said.
The hospital has now been given a warning notice, meaning if an immediate improvement is not seen James Paget could face prosecution or the closure of services.
"It is our view that the BBC should have fought these plans, and rallied its supporters, rather than accept such a devastating deal which could lead to thousands of job losses and the wholesale closure of services," it said.
