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		</div><p><a href="http://londonglossy.com/wp-content/uploads/2010/12/anger-at-pay-cut-or-jobs-axe-deal.jpg"><img class="alignnone size-full" title="The NHS has been accused of putting a gun to workers' heads" src="http://londonglossy.com/wp-content/uploads/2010/12/min-anger-at-pay-cut-or-jobs-axe-deal.jpg" alt="The NHS has been accused of putting a gun to workers' heads"/></a></p>
<p>Unions have accused NHS bosses of putting a gun to NHS workers&#8217; heads over threats to lay off tens of thousands of staff unless further pay restraint is accepted.</p>
<p>Just over a million employees earning up to £34,189 are being asked to give up annual increments &#8211; on top of an existing two-year pay freeze &#8211; in return for a guarantee of no compulsory redundancies.</p>
<p>The Observer reported the number facing the axe if the deal was rejected had been set by NHS Employers &#8211; which represents primary care trusts and other providers &#8211; at 35,000.</p>
<p>Increments were previously excluded from the original public sector pay freeze, which affects all but those earning less than £21,000, and are worth up to a few thousand pounds a year. Ending them for two years would, NHS Employers calculates, save £3.8 billion as part of the effort to secure £20 billion of efficiency savings in the health service by 2014/15.</p>
<p>Karen Reay, national officer for health at the Unite trade union, told the newspaper: &#8220;If you don&#8217;t accept these swingeing proposals, other people may lose their jobs. This is a blunt threat by employers and a negatively emotive way of trying to do business.</p>
<p>&#8220;Staff who are loyal to the NHS and aren&#8217;t paid too much to start with are now being asked to take another hit. It&#8217;s unfair. Many are angry that, after the two-year pay freeze, they are expected to lose their pay increments for two years as well.&#8221;</p>
<p>The deal was first proposed earlier this week, with doctors&#8217; leaders saying it exposed Government claims the NHS budget was being protected were false and expressing doubts about the offered job loss guarantee.</p>
<p>&#8220;This proposal makes clear that the NHS is in fact facing a real-terms cut in funding over the next two years and it appears NHS staff are expected personally to bridge the funding gap in some way,&#8221; Hamish Meldrum, chairman of British Medical Association Council said in a letter to members.</p>
<p>The guarantees &#8220;appear to be very limited and will be left to local agreement&#8221;, he noted.</p>
<p>A Department of Health spokesman was not immediately able to confirm the 35,000 figure.</p>
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