A private company in charge of NHS services in Suffolk is to axe 137 community healthcare jobs.
Serco is consulting on proposals to cut 227 roles and create 90 new ones.
However, bosses say they will not be making compulsory redundancies among frontline clinical staff.
Paul Forden, managing director of Serco’s clinical healthcare business, said: “We will do everything we can to minimise the number of non-clinical staff affected by the changes.
“This means that we will not fill vacant positions and we will also offer people opportunities to work flexibly, reduce working hours or take a career break.
“We appreciate that our staff will be anxious about these proposed changes and will be consulting fully with them over the coming months and listening to their views and any concerns they may have.
“We will also be liaising closely with the trade unions so that we can work together to ensure the redesigned service will provide the best possible care for our patients.”