First we had the pay freeze, then came the pension cuts and re-banding of jobs. All the while we have also seen the privatisation aka ‘outsourcing’ of healthcare services and this continues abound. Now we have proposals for regional pay and changes to terms and conditions. Here in the South West, 20 NHS trusts have banded together to form a consortium designed to stitch us up further. Critics of the plans have described this consortium as a cartel. Their sinisterly named Project Initiation Document (PID) outlines the plans cooked up by senior health bureaucrats. 

It would be a mistake to think that the Consortium’s proposals are out of step with pressure on existing national pay agreements. Under the Agenda for Change (AfC) national agreement that currently governs pay and conditions for NHS staff, proposals have already been mooted by employers in the following areas: