The firm has been announced as the preferred bidder to provide community health services in Suffolk for three years from this autumn.
The contract includes specialist children’s health services and speech and language therapy.
Serco said all 1,000 staff who transfer to the new service will retain their existing terms and conditions.
But Tracey Lambert, Unison’s Eastern region head of health described the appointment of Serco as "an extremely sad day for the people in Suffolk and NHS staff who’ll see their community service sold off in this way".
She said: "The trust has always been recognised for delivering good-quality integrated services, there is no reason for it to be hived off."
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