Thousands of NHS workers could be balloted on taking industrial action in response to the attacks on Agenda for Change.
Unite, which represents 100,000 NHS staff, has said it is making preparations for a ballot in response to what it sees as the continued threat to the national pay framework.
It is unhappy that national talks between unions and employers could result in changes to the contract and also fears moves by the South West Consortium of 20 NHS trusts to break away from AfC could spark wider fragmentation.
Unite head of health Rachael Maskell told Nursing Times: “This is totally unpalatable to our members. Staff are not in the position to see further cuts to their terms and conditions.
“We have been very clear and we are making preparations for industrial action.”
Meanwhile, the national negotiations on changes to the pay framework are continuing. Nursing Times has been told the talks are reaching a “critical stage”.
The Staff Council Executive, comprising leaders from unions and employers, met last Friday. The full Staff Council will meet on 9 November.