Nottingham's hospitals may shed up to 400 jobs
Nottingham's hospitals are to shed up to 400 jobs as part of a bid to make up to £38m of savings.
Nottingham University Hospitals Trust has plans to cut £29m next year, but admits this could rise to £38m.
The trust has estimated it will need to save between £64m to £75m in the next two years.
NHS primary care trusts, which pay the hospitals for services, are also facing substantial reduction in money from the government next year.
The trust runs both Nottingham City Hospital and Queen's Medical Centre.
Hospital bosses hope to cut most of the 400 posts from the trust's 13,000-strong workforce by not filling vacancies.
The average staff turnover at the trust is 900 posts or 7% of the staff.
The hospitals hope they can also find ways to make services cheaper and more efficient.
The trust chief executive Dr Peter Homa said it aimed to "make sure there is no negative impact on the quality of patient care".
But union officials have said it is inevitable the cuts will hit quality.
The trust says it is concerned that the amount of money the government is willing to spend on health costs will not keep pace with the rising demand on services.