Pay cartels will lower staff morale and usher in a three-tier service

摘要

These consortiums will inevitably lead to a two or even three-tier NHS. The trusts that can afford the best pay and conditions will attract the most staff, and these will be in the most affluent areas, only widening the health divide.Not all workers can change jobs to chase better pay - most people have financial and personal commitments.If trusts need to save money, why do they always turn to staff costs first? Why not look at the astronomical costs of private finance initiatives or procurement?