The Government announced it was going to scrap four primary care trusts (PCTs) in Sussex by the year 2013. Bosses at the trusts are required to reduce management costs by 45 per cent over the next three years. Since senior officials need to make cuts, job losses are inevitable, and consultations are taking place within all the PCTs. One of these, NHS West Sussex, says it is currently consulting with its 350 staff on structural changes and this process will lead to approximately 40 job losses.