The long term plan for Portlaoise hospital, which could call for the A&E's downgrade, is nearly complete and should be published within weeks, according to the group that oversees the facility.
However, hospital sources have heard nothing from management saying there has been 'radio silence' on future plans.
A spokesperson for the Dublin Midlands Hospital Group told the Leinster Express that the review and plan for services was at an “advanced stage” and would be complete in the “next few weeks.”
The spokesperson said the report would represent a “roadmap” for the Midlands Regional Hospital Portlaoise and how it integrates with other services.
Following on from its completion there is to be wide consultation on its contents.
Before and during its implementation, there is due to be some further consultaiton, said the spokesperson.
No details or timescale was given for what is contained in the report.
The review is led by Dr Susan O'Reilly, who is chief executive of the Dublin Midlands Group.
The review has been underway for some time and involves other HSE management. The Department of Health is also due to have a say.
However, one well-placed staff source told the Leinster Express that there had been no sign of any report specifically to deal with Portlaoise.
It is understand that it has been “extremely difficult” to finding consensus among national clinical leadership over what should be located in Portlaoise.
It is understood that that there has been no meeting with hospital consultants.
The Dublin Midlands said the future of the new Medical Assessment Unit (MAU) would be set out shortly.
“The new MAU is scheduled to be completed during Q3, 2016. The operation of the MAU is currently being considered as part of the wider review of services at MRHP,” said a statement.
The first floor of the building, which will house the MAU, is already being used as a day ward though no new staff have been recruited.
Meanwhile, both the HSE and Dublin Midlands Group declined to comment on a report that the findings may not be made public from an investigation into staff and management arising from from the maternity unit controversy.
The Irish Times reported that HSE director general Tony O’Brien told the Department of Health the outcomes of disciplinary proceedings into the deaths would have to remain confidential.