NHS staff deserve fair pay

UNISON’s Pay Up Now! campaign has been putting pressure on government to make more money available for an immediate pay rise for all NHS staff – whatever job they do.

Because a pat on the back is simply not enough. It’s time for a proper pay rise. We know that, NHS staff know that and the public agrees.

That is why UNISON broke with tradition this year and submitted a pay claim directly to the government on behalf of more than one million health workers across the UK.

On your behalf, UNISON submitted a pay claim for an award in 2018/19 that matches inflation, plus an extra £800 payment for all staff. We worked with 13 other health unions to submit the claim in September and we also asked for additional funding for reforms to the NHS Agenda for Change pay framework to make it better and fairer.

In November the Chancellor announced that he would be willing to find additional funding for reforms to the NHS pay structure, subject to certain conditions. Since that announcement we have been hard at work to secure a meaningful break-through on pay after the long years of NHS pay cuts that you have all suffered.

Tell us how you feel about your pay: Take our NHS pay survey now

Pay talks to run in parallel with PRB process

The NHS Pay Review Body process was delayed considerably but is now underway and, along with the other health unions, we have submitted evidence to it in support of our pay claim. At the same time we have started talking to the government and to NHS employers about what the Budget announcement might mean, and what strings might be attached to any extra money for pay rises and reforms.

Our priorities for you pay

UNISON has very clear priorities for reforming the pay structure including ending low pay and making sure that there is a genuine Living Wage at the bottom of a reformed pay structure. We also want to improve starting salaries, remove overlaps between pay bands and make it quicker for you to get to the top of bands. But we are well aware that in trying to achieve what we want, we will come up against additional priorities that other parties in the talks will want to pursue. We are talking about a pay structure that covers over a million NHS staff represented by 14 trade unions.

In addition, there are four separate health departments in the four UK countries that we will need to engage with and the politics around how any outcomes would apply in each country are outside our direct control. So, as you can imagine, negotiations on a pay reform package will not be quick or easy to do. But this is the first opportunity we have had in a decade for this kind of discussion with government and employer representatives about long-term improvements to the Agenda for Change pay structure.

So we think it is worth putting the work in if we can have serious talks. We will enter these in good faith using all our professional negotiating experience. As negotiators we will be guided throughout by elected UNISON representatives who, like you, work in the NHS and reflect your views and concerns.

If we think that the talks are not going to work because the other side is making too many unreasonable demands, we will let you know and talk to you about what our next steps should be. But if we feel we can make progress we will keep talking until we have got a full picture of the kind of deal that might be possible. This means that you might not hear much detail until the end. But I want to assure you that once we have that full picture we will give you all the information you need to understand how any package would affect you and your colleagues. You will have the opportunity to have your say before anything is agreed. If all goes well we hope that we can get to this stage by early March.

We know how tough pay restraint has been for you – we are determined to do everything in our power to get the government to pay up now. NHS staff deserve nothing less.


Living on a knife-edge – survey reveals what a pay rise would mean to NHS employees

Being able to feed their families, afford dental treatment, repair their cars or pay off debts are some of the things that health workers could afford if the government gave them a decent pay rise, according to a survey released today (Sunday) by UNISON. UNISON says the findings expose the financial hardship suffered by NHS […]

The NHS is not out of the woods yet

The government has shifted on NHS pay, but there could still be a sting in the tail

Health unions call for the government to act on public sector pay

Seventeen unions representing employees across the NHS have today (Tuesday) expressed anger and deep disappointment at the government’s failure to deal with the ongoing public sector pay crisis. Unions say health staff are angry that ministers have still not said they will allow the pay review bodies to operate without interference, and will fully fund […]

People protest for NHS pay

Health secretary urged to lift NHS pay cap

UNISON writes to Jeremy Hunt to put case for ending the pay cap

Health service workers resort to loans and food banks after years of cash cuts, UNISON survey finds

Thursday 27 October 2016 Hard-pressed health service staff are turning to high-rate loans, pawning their belongings and visiting food banks as they struggle just to make ends meet, according to research by UNISON. Financial hardship has led to almost half (49%) of those who took part in a major survey to seek financial help from […]

The issue

Healthcare staff have now sustained six years of pay restraint at great cost to their living standards, and causing great damage to their morale.

The NHS can’t go on like this. It simply isn’t right for NHS pay to be held back while the cost of living keeps rising.

Pay restraint has resulted in the equivalent annual pay cuts of £2,288 for a cleaner, £2,818 for a ward administrator, £4,846 for a nurse and £6,134 for a midwife.

The new government has a choice.

It can choose to restore the independence of the well-regarded Pay Review Body system to make the pay recommendations it believes are needed to maintain recruitment and retention at the levels the service needs.

Or it can allow the current, unsustainable staffing situation to spiral out of control.

UNISON is serious about fair pay for NHS staff, and we will not stop the fight until there is fair pay for health workers.