1.14 Despite local health plans being not fully developed there is a clear expectation of continued hospital service provision at the West Middlesex site. The current site is the major provider of general and acute hospital services to a population of 310,000. It also provides undergraduate and postgraduate medical education and training. There will, however, always be uncertainty about future local demography. Also, there is ongoing discussion about the precise nature of the services to be provided at West Middlesex. EHH advocates one 'hot site' for emergency work and one 'cold site' dedicated to elective work. This might reduce waiting times and prevent cancellation of elective treatments but there is no clear proposal yet of how this might be taken forward.