Ward nurses at Manor Hospital, Walsall

Key issues

Nearly half a million UNISON members work in the NHS and for organisations providing NHS services in all four countries of the UK.

This section is about the key issues affecting people employed by the NHS and organisations providing NHS services. Each key issue explains the facts behind the issue, what UNISON is doing and how you can get involved. You will also find news articles, useful resources and events.

We recognise and defend the rights of all workers in the health service. By working together within UNISON, health sector workers are better able to fight for change.

Pay in the NHS

NHS staff have their pay and terms and conditions set by a national scheme known as Agenda for Change.

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Fighting cuts and privatisation in the NHS

The NHS is facing serious threats. Services and jobs are threatened with some employers using the economy as an excuse to attack staff pay, terms and conditions. We believe patients come before money. Find out how UNISON is campaigning to make sure the NHS is safe for patients and staff.

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