The Health Service Group Executive of the public-service workers' union Unison voted on 8 September to recommend "Yes" to Agenda for Change.
The recommendation goes to a special conference of the health sector of Unison in London on 7 October.
Agenda for Change is the government's proposal to restructure health-service pay. It would cut pay rates for a sizeable proportion of posts, and bring in longer working hours for a number of health service workers.
Rank and file activists in the Unison health sector have issued a "vote no" leaflet under the banner of the paper Healthworker.