The leader of City of Wolverhampton Council has voiced serious concern about the impact on the city's main hospital when Telford's emergency unit closes overnight.
Last week the Shrewsbury and Telford Hospital NHS Trust board ruled the Princess Royal Hospital in Telford would suspend services overnight because of staff shortages.
New Cross Hospital in Wolverhampton has already taken on extra patients after Stafford closed its A&E from 22:00.
Roger Lawrence said the extra burden wasn't fair on staff and could impact on patient care.
The pressures that will fall on us, Stoke and Dudley are likely to be quite serious in terms of their potential impact, and if it is going to be a long-term issue then I don't think that they're going to be able to cope."