Two unions representing health workers have raised the possibility of industrial action over the government's pay award announced today.
600,000 NHS staff will not get the 1% pay rise announced this morning.
The Treasury says those staff have had wage rises due to the pay progression scheme, which recognises new skills or improved performance. It will save the Department of Health £200 million in 2014-15.
Unions say that is a "divisive" measure which shows "compete contempt" for NHS staff.
Both Unite - the country's largest union - and Unison - which represents many health workers - say they plan to consult their members and will ask if they want to consider taking industrial action.
Even the Royal College of Nursing, which does not usually take industrial action, would not rule out doing so.
The RCN told ITV News that the pay award is "incredibly divisive" and nurses will be "very, very angry."
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