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I would keep it simple.

Incremental drift is a big problem which creates inequity among people doing the same job.So get rid of pay increments.

The prvate sector have endured pay cuts over the past four or five years. So cut the pay of the highest earners.

Invest in real integrated workforce planning and design modern jobs to deliver modern services. If services are organised effectively you don't need to cut most of the conditions listed to get good results.

Wider reforme of TUPE will help, although the fact that TUPE is used at all to transfer staff between NHS organisations is a nonsense.

Some services also lend themselves to a more commercial, income generating approach, which may warrant a review of some pay and conditions.

So I'm broadly in favour of this review.Sadly the trade unions always focus on preserving hard won pay and conditions rather than on initiatives which preserve jobs and create opportunities for the unemployed.