A hospital trust facing a £2m deficit is to shed 185 posts and shut an operating theatre to save money.
Peterborough and Stamford Hospitals NHS Trust needs to cut budgets by more than £2m in the coming year.
Job cuts will affect the Edith Cavell, Peterborough General and Stamford hospitals across the board and at all levels from doctors to cleaning staff.
But the trust believes it can achieve the cuts without any redundancies and without affecting patient care.
The trust plans to abolish posts as people leave and this form of natural wastage, they have said, has helped them improve efficiency in the past.
'Patient care maintained'
Operations director John Stevenson said: "We have done this before. We lost 177 jobs last year and only one person was made redundant.
"Clinical methods and technology change all the time and we are convinced we can achieve the necessary cuts without people being made redundant compulsorily and while still maintaining patient care standards."
The job losses were first announced last month. Now, following a 28-day consultation with managers and the unions, staff have been told it is highly probable some members of staff will be affected immediately.
The trust currently has 19 operating theatres in use and one of these, only used part-time, will be closed.