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12 April 2011, 15:32 | Updated: 12 April 2011, 15:35
The London Ambulance Service has announced plans to cut 890 jobs over the next 5 years as part of plans to make savings of over 53 million pounds.
It says most of the reductions should come from natural wastage.
The number of frontline posts will be cut by 560, 330 more posts will go from management and support services.
It's also introducing a range of efficiency measures to cut costs and improve services.
Union leaders claim it will spell "total carnage" for London's ambulance service.