In April 2006 NHS Lanarkshire issued its 'Picture of Health' document suggested the downgrading to two consultant-led A&E departments, with a choice between Monklands Hospital and Hairmyres Hospital for downgrading. The level two hospital would have a nurse-led Minor Injuries Unit, along with planned surgery, full diagnostic/outpatient services and general medicine. Eventually, Monklands was earmarked for downgrading. This would have resulted in NHS Lanarkshire having consultant-led accident and emergency departments only at Wishaw General Hospital and Hairmyres Hospital in East Kilbride.