title: 'Job cuts are unavoidable if trusts have to keep paying increments'.
mesh_terms: D003363:Cost Control; D017598:Efficiency, Organizational; D004651:Employment / Q000458:organization & administration*; D004739:England; D006801:Humans; D007750:Labor Unions / Q000458:organization & administration; D020415:Personnel Downsizing / Q000458:organization & administration*; D012456:Salaries and Fringe Benefits / Q000191:economics*; D013222:State Medicine / Q000458:organization & administration*