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:
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Helen has the forecast for Devon, Cornwall, Somerset and Dorset.
Helen has the forecast for Bristol, Wiltshire, Somerset, Gloucestershire and Dorset.
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