Even at the top of my profession - as a director in a number of organisations - whilst well remunerated in contrast to the nursing workforce, I was the least well paid director. Somehow, the core business of the organisation - providing healthcare services, delivered mainly by women - did not end up being reflected in the pay structures. Of course finance, estates, operations and commissioning functions are crucial support to service delivery and good patient care, but that is just it. If they are the supporting mechanisms, why are they the better paid positions? This dilution of pay is also evident at ward sisters/charge nurse levels. Their role is the linchpin of good patient care and they are key role models to help develop the next generation of compassionate nurses. Most are on a Band 7 of the pay scale: £31-35k, the same level as procurement team manager, information analyst team manager - and indeed many recruitment and sales operatives in the external NHS world.