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NHS trusts have been asked to make extreme cuts as the service faces a predicted shortfall of almost ₤ 7 billion, health leaders warned today.

In a survey for NHS Providers, 47 per cent of trust leaders alerted they are rolling back services to balance the books, while another 43 per cent are thinking about doing so.

Rehabilitation centres, talking treatments and diabetes services for young people are amongst services at risk.

Eighty-six percent of respondents stated their organisation is having to cut tasks in non-clinical groups, while 37 per cent plan to cut medical posts.

A variety of trusts are intending to cut 500 jobs or more, with one planning as many as 1,000.

NHS union Unison's head of health Helga Pile stated: "Ministers shouldn't be insisting trusts balance their books while neglecting the damaging repercussions for patient care and a demoralised workforce.