Loss of jobs fear at Worcestershire Primary Care Trust
Around 100 jobs in Worcestershire's Primary Care Trust (PCT) could be cut.
The Trust needs to save about £60m by 2013 as the government introduces changes to the NHS, including scrapping PCTs and giving more power to GPs.
The PCT employs around 2,500 people, of which about 200 who work in management and administration, are most at risk.
Chief executive Paul Bates said people may be found new roles in the new organisations that would replace PCTs.
But he warned it was "entirely possible" up to half of those in management and administration positions could lose their jobs.
Mr Bates said he had no formal figures at this stage: "It's a set of savings on a scale we've never seen before.
"Rather than cut services we're trying to save money through efficiency. The issue is, if you're more efficient you need less staff.
"So some job losses, particularly in administration and management, are going to be a significant feature of these changes."
On July 8 The government unveiled proposals for radical reform of the NHS, including the abolition of all 10 strategic health authorities and the 152 management bodies known as primary care trusts.