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:
More top news
The RSPCA at West Hatch is already packed with seal pups and there are fears it will have to take on more if storms return this winter
Hundreds have queued in Bristol hoping to impress the talent scouts for the next series of ITV's Britain's Got Talent.
Exeter Chiefs went to the top of the Premiership for at least 24 hours after a richly deserved 31-15 victory over Wasps at Sandy Park.