NHS Forth Valley's finance chief has warned that the health board is facing a financial challenge on an unprecedented scale in the three years time, with a £40 million shortfall expected.
There are fears that a lack of funding could mean ambitious plans to modernise GP surgeries and redevelop Falkirk Community Hospital could be at risk.
Finance director Scott Urquhart stressed to members of NHS Forth Valley's board at a meeting this week that the financial plan is just a projection and the numbers will almost certainly change.