Union members are yet to back the deal, and the government still needs to pay for it, says Chris Mason.
The reality of any negotiation is that the potential sweet spot for agreement lies in the place where both sides can claim a victory and argue that their course of action all along was pragmatic, sensible and justifiable.
After months of argument and weeks of serious talks, that is where many of the health unions and the government each find themselves in many of the disputes in the NHS in England. For ages, the government said it wouldn't reopen pay discussions for this financial year, which runs until the end of the month.For ages, trades unions made various pay demands, often well in excess of 5%, which the leaderships of many unions are now saying is acceptable for the next financial year.This has been in the offing for a while: both the potential for compromise, and even the figure arrived at.one-off payments were being discussed within government and within trades unions.
Across government, there is an ongoing review looking for efficiencies and savings. It is expected that part of the gap will be filled by finding areas of underspend or savings from administration costs.But precisely what is a "front line service" and how much can be saved from other functions without having an impact on the sort of thing we might notice as patients?
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