A nursing union says the ball's in Manx Care's court after its members voted for strike action.
Royal College of Nursing North West regional director Simon Browes says staff rejected a four per cent pay offer from Manx Care and 70 per cent of those polled favoured strike action.
He says the RCN is now in a position to proceed to a statutory ballot on industrial action, which would allow members to go on strike.
But Mr Browes says the RCN is asking Manx Care to continue negotiations with members.
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