NHS workers in Bristol and other parts of the region have been protesting about plans to scrap national pay scales in favour of local rates.
Unions fear that the plans by a group of 20 NHS trusts across the region could lead to pay cuts for nurses and other staff, and that other terms and conditions such as sick pay could also be cut.
Our reporter Bob Constantine spoke to some of the protesters. Jeanette Jones from the Royal College of Nursing says there could be pay cuts across the country:
And Jane Jackson from Unison is worried that skilled workers could leave the South West, which will affect the quality of patient care in the region:
The NHS says the plans are still out to consultation and not yet decided.