Isle of Wight to cut 600 NHS jobs
About 600 NHS Isle of Wight jobs out of a workforce of 3,000 (20%) could be lost over the next four years.
Health managers said they needed to make savings of up to £14m a year in order to safeguard essential services.
In a statement NHS Isle of Wight said future redundancies could not be ruled out if savings targets cannot be met through cost saving measures.
The news comes just weeks after the island's council announced up to 500 jobs would go.
Kevin Flynn, NHS Isle of Wight Chief Executive, said: "We are doing what we can to achieve these cost reductions through natural wastage and vacancy control.
"However I cannot rule out the need in the future to make redundancies if we cannot achieve our savings targets through these and other cost saving measures."
NHS Isle of Wight said it would also look at reducing sickness and other absences, review variable working hours, reducing agency, locum and overtime costs.
Steve Brazier, regional head of health for Unison in the South East, said: "This is the picture we have seen across the whole of the South East and across the country, in terms of government cuts and NHS funding being translated into cuts to staffing and passed on to cuts to patient care and services."
Mr Brazier said more details would be known about the number of jobs being lost, next week.
"We've not seen which jobs will directly be affected, but a number of other trusts have said very clearly that they are going to cut clinical as well as non clinical posts.
"This will impact on the services on the Isle of Wight", he added.
NHS Isle of Wight employs approx. 3000 staff.