Up here in the relatively less well paid North the pay of the teacher, the nurse and the social worker - set by national collective bargaining or through a national pay body - is a good wage. In truth a better than good wage compared to average earnings in the North's private sector.
The opposite is true for London.
Which is why we should welcome this:
Foundation trusts are showing an unprecedented willingness to publicly consider moving away from nationally negotiated staff terms and conditions.
Of course the unions don't like it:
In April, the Royal College of Nursing passed a motion allowing it to ballot for industrial action if an employer attempted to impose any proposal “which challenges the nationally agreed pay agreement”.
But then we don't run our health services for the benefit of those employed by those services do we?