NHS Apr pay reviews -- a pain in the backside (5,4)
I believe the answer is:
nappy rash
'a pain in the backside' is the definition.
I know nothing about this answer so I cannot judge whether this works.
'nhs apr pay reviews' is the wordplay.
'reviews' indicates an anagram (I've seen 'review' mean this).
'nhs'+'apr'+'pay'='nhsaprpay'
'nhsaprpay' is an anagram of 'NAPPY RASH'.
Can you help me to learn more?
(Other definitions for nappy rash that I've seen before include "wet spots" , "Baby's discomfort" .)