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A hospital trust in South Yorkshire has announced it will be cutting 750 jobs, about 20% of its workforce, by 2015.
Rotherham NHS Foundation Trust said it needed a "smaller hospital, with substantially fewer beds" and a smaller workforce to save ?50m over the next four years.
A report presented to the board by its chief executive said "compulsory redundancies are inevitable".
Unison has blamed the cuts on mismanagement.
Chief executive Brian James said: "The NHS continues to face tough times financially.
"Our staff are our biggest asset, but also our biggest cost and we are exploring how to best manage and substantially reduce our costs whilst ensuring we continue to provide quality healthcare."
http://www.bbc.co.uk/news/uk-england-south-yorkshire-20092315
Rotherham NHS Foundation Trust said it needed a "smaller hospital, with substantially fewer beds" and a smaller workforce to save ?50m over the next four years.
A report presented to the board by its chief executive said "compulsory redundancies are inevitable".
Unison has blamed the cuts on mismanagement.
Chief executive Brian James said: "The NHS continues to face tough times financially.
"Our staff are our biggest asset, but also our biggest cost and we are exploring how to best manage and substantially reduce our costs whilst ensuring we continue to provide quality healthcare."
http://www.bbc.co.uk/news/uk-england-south-yorkshire-20092315