The independent NHS Pay Review Body advises and makes recommendations to the government on the pay, pensions, working hours and conditions of nursing staff, healthcare professionals and other NHS staff. However, since Scotland withdrew from the pay review process, its nurses’ pay increases have been at a faster rate than the rest of the UK. The RCN, UNITE and Unison unions have recently written to the health and social care secretary to get the ‘outdated’ pay review process scrapped because they claim it takes too long, is bureaucratic and inefficient.