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    Despite Tory promises ore than 50,000 jobs are disappearing from the NHS, according to freedom of information responses, which reveal for the first time the extent of cuts by local health trusts struggling to save £20bn from their budgets.

    The survey, by the union-funded website False Economy, represents the most up-to-date picture of the effects of efficiency savings in the NHS and reveals that in England alone, 24,000 posts will be lost in hospitals, another 10,000 will go in primary care trusts and 6,000 will disappear from mental health trusts.

    They include doctors, nurses and dentists as well as administrative positions, undermining government pledges to protect frontline services.

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