The NHS trust for Shropshire is planning to close a mental health ward and cut the number of beds available to patients.
The trust hopes the closure of a mental health ward at Ludlow Hospital and the removal of six beds from Whitchurch Hospital will help to save around £3 million.
There are also plans to slash the number of district nurses and health visitors working for the NHS in Shropshire, which is around £55 million in the red.
Proposals made earlier this year to close Bridgnorth Community Hospital and the Whitchurch establishment, which would have saved a total of £4.3 million, were abandoned following mass protests and petitions in Bridgnorth.
The new plans will also see the Stone House Hospital in Bishops Castle handed over to a non-profit organisation with 12 beds retained for NHS use.
The proposals are now going forward to a public consultation.