abstract: Speaking out: nurses rallied outside Derby Hospitals NHS Foundation Trust last month over proposals to downgrade staff. About 250 nurses on the trust's surgical wards face downgrading and could lose 20 per cent or more of their pay. They staged the rally in protest that the trust had not improved its offer for better pay protection. A spokesperson for the trust said it had been agreed that there would be a series of meetings for all Band 6 staff who might be affected by the proposed changes.