The Department of Health has said it wants NHS staff to forgo their below inflation pay rise and use the money to modernise NHS pay structures.
In its submission to the NHS pay review body, the Department of Health said the NHS is facing the biggest financial challenge in its history, and was facing a "stark choice" as pay rises could have an impact on safe staffing levels.
[It can] either pay staff more, accepting that this may do little to improve the quality of care for patients and is likely to restrict the number of staff employers can afford to employ, or, to reform contracts to enable employers to use their pay bill, as part of their overall employment offer, to maintain safe staffing levels, with stronger links to performance, quality and productivity.
The Government's view, therefore, remains that basic pay increases should only be implemented if there is strong evidence that recruitment, retention, morale or motivation issues require this.
More top news
School fees, pricey private medical care and the fear of interest rate rises mean even those on £200,000 are feeling the pinch.
Overnight it will be cooler and fresher but most places will stay dry with a nippy start to Sunday.
X Factor contestant Raign seems to impress the Wembley audience with her own song even though Cheryl finds her "really annoying".