15 August 2013 Last updated at 11:36 ET
A review of A&E care across the English border should include consultation with mid Wales residents, says Montgomeryshire MP Glyn Davies.
His comments come as Shrewsbury and Telford Hospital NHS Trust bosses said "serious decision-making" was needed on the future of its two A&E services.
Powys has no district general hospital but is served by Royal Shrewsbury Hospital and Princess Royal Hospital in Telford among others.
The trust said it would consult people.
No firm plans have been drawn up yet but there are fears Welsh residents could be adversely affected if services are moved.
Mr Davies has already held meetings with senior managers to air his concerns although wider health service shake-up plans have been under discussion for some years.
"I want the best access possible for patients from Montgomeryshire. And I want them to be an integral part of the discussions," said Mr Davies.
A statement by the hospital trust confirmed that both A&E services were considered important.
And a spokesman confirmed that residents in affected Welsh communities such as Newtown and Llanidloes would be involved in any consultation.
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Border A&E review consultation plea