Guernsey's Health Committee president has called for the States' top political committee to give reassurances over nurses pay, or risk causing disruption to patients.
In a letter to Deputy Jonathan Le Tocq of the Policy and Resources Committee, Deputy Heidi Soulsby has warned that failure to engage with staff may lead to elective operations being cancelled and the provision of community nursing being scaled back.
Nurses say their pay has fallen behind that of other public sector professionals in Guernsey and is significantly lower than those in similar roles in Jersey.
In August, a petition by the Royal College of Nursing was handed in to the States calling for a pay rise of 10% and regular demonstrations have taken place since.
Deputy Soulsby demanded a 'clear commitment' to addressing the pay dispute between the States and nurses on the island.
In response Deputy Jonathan Le Tocq, from the States' Policy and Resources Committee, said that negotiations with three of the four unions involved had gone well - but urged the RCN to ballot its members.
RCN members are due to march in protest on Saturday 21 September.
They will leave Salerie Corner car park at 11.30am before proceeding through St Peter Port.