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Introducing the 'living wage' of a minimum £7.65 outside London and £8.80 in London would have a little impact on Trust budgets. All london Trusts rates are already above these rates as are the fringe rates. For the rest of the country it would simply mean removing the first two pay points which would have no knock on impact on differentials. In many ways its a disgrace this hasn't happened already given that so much of the public and private sector have adopted the minimum wage. The NHS should be an exmplar employer particularly when the links between low pay and poor health are so well documented.