Richard Carr claims healthcare review process is moving away from the controversial model adopted by previous reviews.
Mr Carr replaced Luton Hospital chief executive, Pauline Philip, as lead of the Bedford, Luton and Milton Keynes Sustainability and Transformation Plan (STP) last month.
There is still a clear risk to core services, as presented in documents released in March, and Mr Carr has warned "services will have to change", reported in the Bedfordshire On Sunday. However, he further stated that the STP is moving away from the "binary model of sacraficing one hospital".
The STP will move towards adopting a scheme that would merge NHS services with local authority social care, in which three hospitals would become "specialist centres", with a renewed focus on community health services.