Unions last night rejected proposals to extend pay protection for affected staff from two years to three years.
Unison expects to ballot staff on strike action within a month and RCN members are also threatening industrial action if further negotiations are unsuccessful.
Andy Belfield, Unison regional head of health, said: ‘Hospital staff have shown how angry they are at proposals to cut their pay. These are people who keep the NHS working and provide a service that people in Derby greatly appreciate.’
RCN officer Jane Slatcher said: ‘If no improvement in the offer is forthcoming from the trust soon, then we will reconvene a meeting at which members will be invited to vote on moving to the formal process of pursuing industrial action.’