The RCN, Unison and Unite nursing unions have written a joint letter to health and social care secretary Wes Streeting urging him to axe the NHS pay review body (RB) process in favour of direct ‘round-the-table’ negotiations for NHS 2025-2026 pay. Unions say 1 million NHS staff in England, including nurses, will not receive pay rises on time in April 2025 if the government waits for the RB to report. The unions' joint letter to Mr Streeting states: ‘Sticking with the out-of-date pay review body process risks repeating the mistakes of the past.'