Hundreds of jobs are threatened under reorganisation plans by NHS England which could involve work being transferred to India, according to a leading union.
Unison said cuts could hit 900 mainly low-paid workers in administration jobs such as dealing with prescription charges, and payments to GPs, opticians and dentists, as well as referrals for cancer screening.
The union has written to board members urging them to reconsider the plans, as well as attacking the "secretive" nature of discussions.
Christina McAnea, Unison's head of health, said: " These proposals have been hammered out behind closed doors and are mired in secrecy.
"Staff are being kept in the dark about their futures and this is very upsetting and disruptive for them personally and for the service.
"The potential loss of at least 900 jobs and the closure of dozens of offices across the UK will be a bitter blow to workers and their families.
"At a time when many companies are bringing back services from abroad, it is shameful that NHS England is seeking to make quick savings by outsourcing some work to India."BLOG COMMENTS POWERED BY DISQUS