NHS staff 6.5% pay rise deal backed by healthcare unions

Leaders representing 1.3 million NHS staff have endorsed a deal that will deliver a 6.5% pay rise over three years, despite concerns it will mean a further fall in real incomes.

Fourteen unions backed the government’s offer, which they praised for ending the pay freezes and 1% pay cap policies that the coalition government introduced in 2010 as part of its controversial austerity programme.

If accepted, the deal will give nurses, midwives, healthcare assistants, paramedics, therapists, cleaners, porters and other NHS staff in England an average rise of 3% in the year starting in April and then 2% more in 2019-2020 and 1% extra in 2020-21. The package will cost the government £4.2bn over the next three years.

“Today’s deal is neither a magic wand nor a blank cheque, but commits significant government cash to overlooked NHS staff without making any unpalatable demands in return. For that reason we will be asking members to vote in favour,” said Janet Davies, the general secretary of the Royal College of Nursing, which represents 400,000 nurses in the UK.

She welcomed the proposed deal as ending the “brutally unfair pay cap” and as a tool to help reverse the NHS’s deepening problem of recruiting and retaining nurses.

“There are 40,000 unfilled nurse jobs in England alone, and this should begin to make the professions attractive again.”

Unions, including Unison, Unite, the GMB and the Royal College of Midwives, have agreed to accept the deal after months of tense behind-the-scenes talks with the government.

Q&A

Does the UK have enough doctors and nurses?

The UK has fewer doctors and nurses than many other comparable countries both in Europe and worldwide. According to the Organisation for Economic Co-operation and Development (OECD), Britain comes 24th in a league table of 34 member countries in terms of the number of doctors per capita. Greece, Austria and Norway have the most; the three countries with the fewest are Turkey, Chile and Mexico. Jeremy Hunt, the health secretary, regularly points out that the NHS in England has more doctors and nurses than when the Conservatives came to power in 2010. That is true, although there are now fewer district nurses, mental health nurses and other types of health professionals.

NHS unions and health thinktanks point out that rises in NHS staff’s workloads have outstripped the increases in overall staff numbers. Hospital bosses say understaffing is now their number one problem, even ahead of lack of money and pressure to meet exacting NHS-wide performance targets. Hunt has recently acknowledged that, and Health Education England, the NHS’s staffing and training agency, last month published a workforce strategy intended to tackle the problem.

Read a full Q&A on the NHS winter crisis

They are advising members to accept the deal, partly because 6.5% is the best pay offer they believe they can extract, given the weakness of public finances, and also because of other benefits included in the package.

For example, there will be no change to unsocial hours payments, which help NHS staff earn important extra income from working overnight and at weekends. In addition, those who are at the bottom of their pay band will receive bigger rises, to help them climb their scale more quickly.

The government’s insistence that staff give up a day’s holiday in return for more cash, which the Guardian revealed on 8 March, had threatened to scupper the prospects of an agreement. But after union leaders warned Jeremy Hunt, the health and social care secretary, that such a condition was “unreasonable” and would trigger a grassroots backlash, ministers dropped the condition.

Some union leaders remain concerned that staff, whose incomes have fallen by around 14% in the last seven years, will reject the deal. It has to be accepted by all 14 unions or it will not go ahead, ministers say.

Dr Nick Scriven, the president of the Society for Acute Medicine, which represents hospital specialists in acute and general medicine, welcomed the pay restraint being lifted for the “people who are the very lifeblood and glue that hold the NHS together”. But he warned the deal would still mean a cut in staff’s spending power, given that inflation over the next three years was estimated to be about 9%.

He added: “It has been calculated that these staff have seen a 14% drop in real-terms income since 2011 and despite the rise over three years this could actually mean a further drop.”

NHS Providers, which represents NHS trusts in England, welcomed the government’s decision to fund all of the £4.2bn pay rise rather than expect the financially-stricken health service to foot part of the bill.

“It is excellent news that an agreement has been reached on a pay deal that more fairly rewards NHS staff,” said Saffron Cordery, the organisation’s deputy chief executive.

“Trusts have long told us that the continuation of the pay cap was damaging their ability to recruit and retain staff. It is welcome that pay increases are tiered and will benefit those on lower pay bands the greatest.”

Ministers should now finalise the separate pay deal for doctors, and fully fund it too, as a matter of urgency, Cordery added.

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