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THE PRIME MINISTER, summing up the discussion, said that, while they recognised the natural tendency of public opinion to sympathise with the ambulance workers, the Cabinet were agreed that the NUPE claim could not be conceded without damaging effects on the pay settlements already reached for other NHS staff and on the Government's wider pay policy objectives. It was clear that NUPE was not prepared to contemplate a binding no strike arrangement and the implications of any such arrangements ould in any case need very careful consideration. The effect of Union's action might well be to reduce jobs in the Ambulance Service by accelerating developments already in train which were Leading the service to contract out non-emergency work. The rotary of State for Health should bear in mind the points
discussion in his further handling of the dispute.
made
Cabinet
Took note, with approval, of the Prime Minister's summing up of its sassion and invited the Secretary of State for
quided accordingly.
Health
Cabinet Office
10 November 1989
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