Hello Geoff, Barney
The principle of regional pay has already been established years ago in the NHS with the so-called London Area weighting allowance; I didn't hear anyone on the receiving end complaining that this was unfair?
In a broader sense if we role out the regional pay principle to other Public Sector employees (including civil servants, Armed Forces, Politicians, Management Consultants), we might get somewhere.
There has to be the rule of fairness, (if the Government could sort out the collection of revenue from those multinationals who resort to "Tax avoidance" schemes perhaps we wouldn't be in such a state).
Inevitably, we have little option in the NHS but to make savings or lose jobs, clear stark choices. No doubt the next step will be if everyone agrees to a pay cut, we will locally protect jobs, (but only up to a certain banding i.e. 5 and below).
Time to wake up and smell the Coffee...