The workers say they have been acting above their pay grade for years, but the trusts say they will only pay from 2021.
Hundreds of healthcare assistants on Teesside have started a five-day strike in an ongoing dispute over pay.
Both North Tees and Hartlepool NHS Trust and South Tees Hospitals NHS Foundation Trust have said they will pay staff.The latest action is the fourth by Unison members, and the union is calling upon the trusts to negotiate on the appropriate period of back pay.
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