THE BIG QUESTION
The big question: how should the NHS make efficiency savings?
A recent survey of HR directors has found 95% believe that further reductions need to be made to Agenda for Change.
Despite a deal between unions and NHS Employers to dilute the national Agenda for Change framework in February, Nursing Times can reveal a growing dissatisfaction with the reward package for NHS staff among employers.
This is being driven by the continual drive to make efficiency savings and the perceived generosity of pay, terms and conditions agreements.
There is speculation the difficulties faced by some organisations could drive them to consider forming new regional groups to break away from Agenda for Change in the longer term.
But unions, fresh out of the talks earlier this year, claim most employers have already failed to implement many of the existing flexibilities that could help save money. They argue trusts should look at the wider service configurations to achieve savings.
How do you think saving should be made?
Your comments could be published in NT.