§ Mr. MeacherTo ask the Secretary of State for Health if he will ensure that the Greater Manchester ambulance service NHS trust offers a local pay award in addition to the national pay award. [11815]
§ Mr. HoramNational health service trusts need to consider pay in the context of their overall income from contracts and the costs of providing good quality patient services. It is for each employer to decide what to pay in the light of their overall financial position and other service pressures.