Their decision presents the prime minister, Keir Starmer, the chancellor, Rachel Reeves, and the health secretary, Wes Streeting, with an unexpected headache over public spending, especially as it involves frontline NHS staff who enjoy huge public respect and affection.
It has raised the possibility - feared by NHS bosses that other health workers may feel emboldened by junior doctors receiving a 22% pay rise after a long campaign of strikes and will now seek a similar rise.
The Royal College of Nursing (RCN) made clear that nurses expected a "far higher" award than 5.5%. Twothirds of its 145,000 members in England who took part in a recent consultative ballot voted to reject that as too little.
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