An increasing number of organizations are addressing the issue of trade union recognition, particularly NHS trusts considering introducing local pay determination. Burnley NHS Trust developed a strategic approach to the issue, establishing pre‐determined outcomes and measurable criteria to determine which organizations – if any – would have recognition extended for the purpose of local pay determination. The staff side case is examined in detail along with three other options: a staff association, recognition for some and recognition for none. Four organizations – representing 95 per cent of the unionized workforce – accepted recognition, with safeguards for 14 others.
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