ballots at individual work places. the general secretary says the signs are that across the uk members have spoken clearly in favour of strike action. the rcn said any strikes would affect planned nhs treatment, but not emergency care. in england and wales there have been pay awards of £1 £4 hundred. there has been no formal offer in northern ireland. the department of health for england said recommendations of pay review body have been followed and unions should think hard before taking action that might affect patients. for more our correspondent anisa kadri is here. and this comes against a backdrop of strikes notjust in health anisa? yes, is that right, we have seep strikes on the railways, talks just managing to avert the latest strikes by the rmt union. the cost of living