Hundreds of vacancies could be eliminated at the Queen's Medical Center and City Hospital as the Nottingham University Hospitals Trust seeks to make up a deficit of £ 33m.

Nottingham University Hospitals NHS Trust announced that there will be no layoffs, but vacancies may not be filled or completely deleted.

Confidence has shown that no roles have been withdrawn that are critical to ensuring the quality and safety of patients. However, some clinical roles are compromised.

The trust that both Ropewalk House and the two hospitals have made shows that "hard decisions have to be made" to solve the £ 33m problem.

Other measures include examining the duration of hospitalization in the hospital and requesting additional financial support from agents.

The trust closed the gap by April and said it would "give every shot".

National & # 39; Bonus Money & # 39; of around £ 30 million could be jeopardized if the Trust fails to meet its agreed financial targets, which is a surplus by April 2019.

This additional money would be invested in the modernization of facilities, including the wards and theaters in the hospitals.

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The Trust employs approximately 15,000 people and receives nearly £ 1bn each year.

Hospital chiefs said the last winter had contributed to the deficit, due to the cost of extra beds, and that around 800 redundant operations were being made up.

The campaign group Keep Our NHS Public said this was a "new financial crisis" and it was "unbelievable" that the government was not putting more money into trust.

Mike Scott, spokesman for Keep our NHS Public (Nottinghamshire), said, "This is just unbelievable – the government refuses to provide enough money for the main civil service, and then punishes trust if they can not cope with it even worse next year his.

"A large majority of hospital contracts across the country have a deficit, so it's not about the inefficiency of trust.

"The government has been pushing for extra clinics to be run in the evenings and weekends, but no extra money will be made available – how do you think it will come from?

"And problems with recruitment across the board – many in the context of Brexit – mean that the use of expensive temporary workers has not been reduced.

"NHS employees tell us that with these financial constraints they can not provide high-quality patient care, and ask," Are not we just doomed to private companies advocating and choosing profitable services? "It definitely looks like this."

Scenes in A & E at the Queen's Medical Center during the winter crisis
Scenes in A & E at the Queen's Medical Center during the winter crisis

Rupert Egginton, NUH's Chief Financial Officer, said, "Although the Trust plans a very difficult financial plan for 2018/19, we will continue to do our utmost to achieve the best possible financial results by the end of the year.

"Our financial position has deteriorated since the second quarter, as we saw the true impact of last winter, including the costs of discontinued operations and the associated catch-up and escalation beds, which remain open due to demand for our rescue services since the beginning of the year.

"The cost of the coming winter, including the opening of 116 additional seasonal beds, has further increased the cost pressures.

"Achieving our agreed year-end surplus position depends on the trust achieving its £ 41 million savings target, receiving national funds related to our financial and operational performance, and receiving additional financial support.

"We have developed a financial recovery plan to close the gap, including increased controls to reduce all expenses for the rest of the year."