Amicus members are about to vote on the Agenda for Change proposals for pay modernisation and job standardisation across the NHS.
80,000 Amicus members in the NHS are taking part in the ballot which is being issued without any recommendation from their union.
Gail Cartmail, Amicusí National Officer for the Health Sector, said:
"Agenda for Change seeks to establish equality and fairness on pay and working conditions in the NHS for the first time since itsí creation. While we endorse its aims in establishing transparency and career development structures for workers, there will still be major issues to be ironed out and that is why we are letting our members make a decision based on the best information we can give them.
"Whether our members vote yes or no to Agenda for Change, Amicus regards this as the beginning of the process of change and negotiation, not the end."
Amicusí ballot result on the introduction of Agenda for Change will be released on Friday 12th November.
Amicus members voted to test Agenda for Change in 12 early implementer pilot sites in June 2003.
Agenda for Change is due to be rolled out from January 2005.