Health chiefs in Nottingham say the increase in car parking charges at the city's hospitals is down to £150million of savings needed over the next three years.
Interim estates director for the Nottingham University Hospitals Trust, Doug Ward, said he realised price rises were going to be unpopular - but said frontline services would suffer if they did not take action.
We know from the conversations we have with our patients and visitors that increasing car parking charges is never going to go down well. We accept and understand this.
Like other hospitals and public sector organisations, we face unprecedented financial challenges with £150million savings requirements over three years.
Such challenges mean we will increasingly have to make tough decisions like this one. We have to consider all options for generating savings and income opportunities across all of our services (clinical and non-clinical).
If we didn't charge for parking we would have to use money intended for patient care.