Health workers around the country, many of them employed by private contractors and among the lowest paid, have had to resort to strike action to ensure they get a £1600+ (€1870) lump sum payment that was paid to most directly employed staff last year. Action has just paid off for members of UNISON and Unite in Dudley in the West Midlands where until recently their employer, Mitie, had refused the payment. UNISON members were also successful following their action in the South West against the contractor Sodexo and Wiltshire Health and Care, a company jointly owned by three NHS trusts. UNISON