UP to 350 NHS jobs could go as Government cuts hit hospitals.
Consultation by County Durham and Darlington NHS Foundation Trust is to begin as it looks to lose four per cent of its workforce.
Unite union say this could affect 300 clerical staff, 20 professionals, such as physiotherapists, dieticians and speech therapists, 25 managerial posts and five nurses.
The positions could be lost in Durham City, Darlington and Bishop Auckland.
A meeting will be held between bosses, unions and other parties next week.
Martin Wright, the regional officer for health for Unite, said: “We are not being critical of management, they are in a difficult position and the reason for that is Government cuts. The Government said it would protect the NHS, but that has not been the case at all.”