In a statement, TSDFT said its integrated approach had delivered “significant benefits” for residents over many years by helping reduce “avoidable hospital admissions and supporting people to live well at home”.

It said it faced “considerable financial pressures” and the discussions about the partnership’s future were “ongoing and complex”.

Joe Teape, chief executive of TSDFT, said: “We are committed to working with partners and regional and national colleagues to find a way forward that protects what matters most – safe, effective services for our communities.”