Warning over local NHS pay deal

If you have staff that are less well rested because of reductions in annual leave and more stressed because of increased working hours there's a danger that has an impact on patient care"

Bristol is a centre of excellence for lots of things cardiac, children lots of things.

But if they are going to pay the staff less here they will then go to the other centres of excellence and they will lose the best nurses"

We already know of trusts locally that can't recruit nurses and other healthcare staff in the South West and they are already going abroad.

That's with national terms and conditions. What on earth it will be like if our terms and conditions are lower than in other parts of the country, that's obviously an accident waiting to happen"

If the battle means coordinated strike action, the battle means coordinated strike action. The decision will be yours".

I think it's very important to be clear that no decisions have been made or proposals around reducing pay in the South West.

However we are very clear the 20 employers that are part of the Consortium, that need to explore and consider options for securing employment going forward going into the future because of the unprecedented financial challenges that we face, but also we owe it to the populations that we serve that we can look at pay, terms and conditions in a way that supports the provision of high quality healthcare in the years to come."