§ Mr. Bayley
To ask the Secretary of State for Health for what reasons(a) health authorities are and (b) NHS trusts are not required to pay their senior managers on NHS Whitley rates. 
§ Mr. Malone
The pay of general and senior managers on national terms and conditions is not negotiated in Whitley councils but is determined centrally by my right hon. Friend the Secretary of State. Health authorities have to pay national rates. The National Health Service and Community Care Act 1990 gave trusts the freedom to set their own terms and conditions of service and has enabled the pay of senior executives to be determined locally where local needs and market factors can properly be taken into account in order to deliver improved patient care.