The union representing nurses and other health sector workers is preparing its negotiations with the provincial government.
The union says their salaries have been playing catch-up with the cost of living for a decade now, and that job security is a serious concern.
The union says it is looking for a big pay raise in the next few years: 4.5 per cent a year for the next three years.
This at a time when the Liberal government is cutting back on spending across all sectors.
Union president Jeff Begley says his members are running out of patience.
"It's been 10 years that we haven't addressed the salary question," he says. "If we don't address it soon, there's going to be a crisis in the health and social services network."
He adds that irregular, part-time work is affecting patient care and worker morale.
They will submit their proposals to the government in the fall.