Derby Hospitals Trust tackles £40m shortfall
A review of its London Road site and a private patients' wing are among plans being considered to save Derby's hospitals £20m.
The city's NHS trust said a £20m cut in funding caused by changes to internal NHS charges this year would be followed by a similar shortfall next year.
NHS bosses said discussions were continuing but savings must be made as the financial pressures would continue.
A recruitment freeze and rise in parking charges are already in place.
The Derby Hospitals NHS Foundation Trust said the amount it was allowed to charge primary care trusts had been cut and, along with high demand for emergency care and high agency costs, had left it with a £72,000-a-day overspend since April 2011.
To deal with this the trust said it had already reduced the time people spent in hospital, cut IT and administration costs, restructured management and limited agency staff bills.
But costs are predicted to outstrip income by a similar amount in 2012-13.
Ideas being put forward to save more money include working with partners on the care of the frail and chronically ill, a scheme to reduce emergency admissions and building a private wing.
Trust chief executive Sue James said: "Our doctors tell us it would be safer for patients and in many ways easier for them if we were able to develop our services.
"So in addition to out NHS patients we would have private inpatients on the hospital site."
She added that the large London Road site, which has a handful of convalescent beds, was "not well used" and a decision had to be made on whether to move all inpatients from it.
Mrs James said the recruitment freeze would lead to staff redeployment but she could not guarantee there would be no compulsory redundancies.
Parking charges will increase by about 10p an hour from 6 January.