'There will be very little cash around, and any pay award that was unfunded, even to a proportion of last year's unfunded level, would wipe us out.' HA chief executive

'Increasing workload... is the real issue for our staff - pay is often a secondary issue.' Trust HR director, Eastern region

'Workload is a key factor in recruitment and retention since staff under pressure cannot give quality care, don't get job satisfaction... and it increases risk.'

Acute trust personnel director, Trent region

'Workload is becoming unsustainable in some areas.' Trust head of HR, Scotland

'The need for more staff is greater than the need for more pay.' HR director, HA, London region