NHS pay rise 2021: when will it be paid, how much does a nurse earn and UK nurses salary scale explained

No 10 said NHS staff will be paid out of the existing health service’s budget
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Health unions are to consult their members regarding industrial action following the “insulting” 3% pay offer for England.

Nurses, paramedics, consultants, dentists and salaried GPs come under the new pay deal, which is three times higher than the government’s initial 1% offer.

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The 3% pay rise for NHS staff in England is recognition “for their pandemic contribution during an unprecedented year” the government has said, but the uplift has proved controversial.

Health Secretary Sajid Javid said the pay rise was despite a wider public sector pay pause, but Labour and unions have been quick to condemn the move.

On Thursday morning, Pat Cullen, interim general secretary of the Royal College of Nursing (RCN), said the 3% was far below what was needed by nurses, who have worked throughout the pandemic and are facing serious staff shortages due to a high number of vacancies.

A nurse holds a placard calling for a pay rise for NHS nursing staff (AFP/Getty)A nurse holds a placard calling for a pay rise for NHS nursing staff (AFP/Getty)
A nurse holds a placard calling for a pay rise for NHS nursing staff (AFP/Getty)

Asked if industrial action can be expected, she told BBC Breakfast “we will put that (the pay award) to our nurses next week in a consultative ballot and they will decide”.

How much does a nurse earn?

The pay rise is for nurses, paramedics, consultants, and dentists in England and does not cover doctors and dentists in training.

UK NHS nurses are currently paid according to a band scale which ranges from 0-9, while private nurses pay is unregulated.

Entry level NHS nurses pay starts at £18,005 while level 9 nurses can be paid between £91,004 to £104,927 – also depending on experience.

The Royal College of Nursing have estimated that the average annual salary of an NHS Nurse is £33,384.

When will NHS staff recieve a pay rise?

The Department for Health and Social Care (DHSC) said it had accepted recommendations of independent review bodies and would be giving NHS staff in England a 3% pay rise backdated to April.

It means the “average nurse” will receive an additional £1,000 a year, while many porters and cleaners will get around £540, the DHSC said.

In a statement, minister for Care Helen Whately said: “Our NHS staff have worked incredibly hard to fight the pandemic for over eighteen months and I’m glad to confirm we are accepting the pay review bodies’ recommendations in full this year, so staff in their remit will receive a 3% pay rise.”

How is NHS pay decided?

Independent bodies – the NHS Pay Review Body and the Review Body for Doctors’ and Dentists’ Renumeration – make non-binding recommendations to the Government, having taken advice from Government departments, unions and others.

The Government’s own recommendation to the pay review body, of a 1% increase, proved controversial in March.

A leading union set up an industrial action fund, and made calls for the public to support a slow hand clap against the proposals, while health minister Nadine Dorries said Government could not afford to give NHS staff in England a pay rise of more than 1%.

Is it the same in the other nations?

Health spending is devolved, so pay is a matter for parliaments in Wales, Northern Ireland and Scotland.

In Wales, Health Minister Eluned Morgan agreed a 3% pay rise for all NHS staff, and in May, health workers across Scotland accepted a pay rise from the Scottish Government that is worth at least 4% for most staff.

How much have unions asked for?

Unions have said the proposed pay increase becomes a pay cut when inflation is factored in.

Pat Cullen, interim general secretary of the Royal College of Nursing (RCN), said Treasury forecasts predict inflation to reach 3.7% and, therefore, a 3% pay rise becomes a loss of £200.

Campaign group Nurses United have called for a 15% pay rise, saying staff had lost more than that in real terms, while the Fair Pay For Nursing campaign aims to secure a fully-funded 12.5% pay increase for all nursing staff.

What happens now?

The pay rise will be laid before Parliament on Thursday morning, while the HCSA, the hospital doctors’ union, said it will meet in an emergency session to discuss its response to the pay offer.

Mr Cullen, of the RCN, added: “Nursing staff will remain dignified in responding to what will be a bitter blow to many. But the profession will not take this lying down. We will be consulting our members on what action they would like to take next.”

Additional reporting by PA.