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Payscales in AfC are more than enough to incorporate ALL grades in the NHS. Why oh why do we need VSM? We are creating problems where they needn't be. If we want to pay above the top of Band 9, then simple add another 2 bands & increase the top to say £120k MAX (including all clinicians). This is not a small salary and coupled with the following benefits a not unreasonable package:

- Up to 33 days annual leave
- 6 months full pay, 6 months half pay sickness scheme
- NHS Pension
-up to 2 years pay redundancy scheme

With regards to bonuses. Why should the people at the top expect them when they are considered unworkable for the rest of the organisation?

Bonuses like tipping should be consigned to room 101!!!!

And for those who say we need to pay the top money to attract the best, well I say let them go and find it because the NHS is suppoosed to be paying more than the private sector in any case!!!!!!