Arthritis Care is axing up to 15 senior managers - 7 per cent of its workforce - after failing to secure public service contracts to deliver a range of self-management courses to NHS hospital patients.
Instead the courses, which the charity had been developing over a number of years, will be delivered in-house by the NHS. Arthritis Care says that the loss of this revenue, plus a halving of legacy income from £3.4m to £1.7m over the past five years, has forced a restructure.
"The NHS adopting our courses means that more people will benefit from the work we've been pioneering," said Kieran Kettleton, director of communications.
"But the loss of this potential revenue, plus other factors, has led us to look at repositioning the charity as a centre of information for people with arthritis, which means making some pretty big changes."