Bristol Mayor George Ferguson has announced a council tax rise of just below 2% to help cover a £35m reduction in spending.
330 jobs are to go, with 100 of those being compulsory.
In a press conference earlier today (Mon), Mr Ferguson said "I'm sorry but these are inescapable. I take the blame.'
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Patients across the region have had operations and appointments cancelled despite a strike by junior doctors being called off.