Prospect balloting members over potential New Year strike
Manx Care needs to come up with a 'substantial' pay increase or staff will strike next year.
That's the threat from Prospect which is holding a 'consultative ballot' with its members in the health service.
The union says current pay does not reflect the skills, dedication and commitment of workers and industrial action is now on the table.
Negotiations officer Mick Hewer spoke to Manx Radio's Christian Jones:
Manx Radio has contacted Manx Care for comment but has not yet received a response.