It's shaping up to be one of the most divisive and controversial issues to affect the health service in decades.
Should health bosses here in the South West ignore national deals and set their own pay scales, terms and conditions?
Our health correspondent Rebecca Broxton reports on the growing anger of NHS staff:
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.
Health workers meet in Bristol to discuss their response to plans by health bosses to ignore national agreements and impose local deals.