The RCN and other trade unions have been involved in pay negotiations with Manx Care for the 2024/25 and 2025/26 pay rounds. 

The RCN has now a formal written offer from Manx Care.

It is important that you have your say about your pay. 

The consultation will be administered by the Royal College of Nursing. RCN members eligible to take part in the consultative survey will receive an email with a link to the online survey to the email at the address you have registered with the RCN.

The consultative survey will be open from 12 noon on Wednesday 21 January 2026 to 12 noon on Wednesday 4 February 2026.

You can cast your vote on the RCN website. Only RCN members employed by Manx Care are eligible to take part in the consultative survey on this pay offer.

If you’ve told us that you are employed by Manx Care you should have received an email with a link to the voting page where you can read more about the pay offer as well. 

The consultative survey will close at 12 noon on 4 February. You will not be able to vote after this time.

To update your details log in to MyRCN or call RCN Direct on 0345 772 6100 (select option one), or email membership@rcn.org.uk. Please include your membership number in your email, and you will be asked for it if you call. 

If you have issues accessing the voting website, please log in to MyRCN or call RCN Direct on 0345 772 6100 (select option one), or email membership@rcn.org.uk. Please include your membership number in your email, and you will be asked for it if you call. You can learn more about RCN membership and other ways to get in touch on our membership FAQs.

Your voting email will be sent from noon on 21 January 2026, and not before then.  If you haven’t received your email, please check your junk email in the first instance.

If you still can’t find the email, check which email we have for you at MyRCN or call RCN Direct on 0345 772 6100 (select option one), or email membership@rcn.org.uk.

The voting link will also be available on the Isle of Man branch page however, you will need your membership number to log in.

Only RCN members who are directly employed by Manx Care are eligible to participate in the ballot, as this pay award directly affects them.

Although an employer may pay staff in line with Manx Care terms and conditions, if the employing organisation is not part of the organisation (eg an independent employer) then the staff are not eligible to take part in this consultation.

This consultation on the executive pay award is only directly applied to staff who are employed by Manx Care.

Only those who are eligible can vote. Votes will be checked against the employer you have registered on MyRCN therefore it is imperative that your employer is correct on the RCN system to ensure it is counted.

Your employer will not know if or how you chose to vote on this offer. Your vote is confidential, and the consultative survey is conducted by the RCN.

The RCN will inform Manx Care of the percentage of members voting for and against the employers offer and the outcome of this vote.

Yes, provided you are an RCN member and employed on a Manx Care contract, you are eligible to take part in the consultative survey on this pay offer. For your vote to be counted your MyRCN record must be updated to include that you work at Manx Care.

To update your details, log in to MyRCN or call RCN Direct on 0345 772 6100 (select option one) or email membership@rcn.org.uk. You must include your membership number in your email, and you will be asked for it if you call. You can find out more about RCN membership and other ways to get in touch on our membership FAQs.

RCN student members who are directly employed by Manx Care are eligible to take part in this consultative survey.

Only staff directly employed by Manx Care are eligible to take part in the consultative survey.

To update your details, log in to MyRCN or call RCN Direct on 0345 772 6100 (select option one), or email membership@rcn.org.uk. Please include your membership number in your email, and you will be asked for it if you call.

It is important to include as much information about your workplace and employer as possible.

Students who are not directly employed by Manx Care can still support the Fair Pay for Nursing campaign, help spread the word about the consultation, and encourage colleagues to participate.

All staff currently employed by Manx Care and are eligible to participate in the consultative survey. If you are no longer employed by Manx Care, then you will not be included in the ballot as you will not be affected by the employer’s offer.

If you have received an email encouraging you to vote in this consultative survey, it might be that your details in the RCN membership database are out of date. To update your details, log in to MyRCN or call RCN Direct on 0345 772 6100 (select option one), or email membership@rcn.org.uk. Please include your membership number in your email, and you will be asked for it if you call.

Any information you share with us will be encrypted and stored securely and will only be visible to our staff for the purposes of handling your claim. Your claim will always be subject to the RCN’s Privacy Policy.

You can change your vote as many times as you would like however, only your last vote will count.

As soon as votes are verified, we will communicate the result via email to you.

In December 2025, Manx Care offered: 

• 2024/25: A 1% offer in addition to the 4% already imposed, bringing the total offer up to 5%. 
• 2025/26: A 1% offer in addition to the 2% already offered, bringing the total offer up to 3%. 

This is the second offer that have been made for these pay periods.

No. Manx Care have stated that the above offers are distinctly separate and are not contingent upon each other.

A pay award is when an employer (such as Manx Care) or government (Department of Health and Social Care) that controls pay decides on the pay for staff and implements that decision by automatically applying it to the employee’s contract of employment.

A pay offer is usually generated from discussions or negotiations between an employer or government that controls pay, and the employees or the employees’ trade union.

Once an offer is made, the employees are given an opportunity to consider if they wish to accept the offer made by the employer or government.

A pay award is when an employer or government that controls pay decides on pay for the staff and implements that decision by automatically applying it to the employee’s salary. In these circumstances, a recommendation would be redundant.

The RCN has reviewed the offer and is not making a recommendation as to whether you should vote to accept or reject it.

It is for RCN members employed by Manx Care to have the final say on this offer.

Offers are presented to members to vote on and it will ultimately be RCN members who decide if the figure offered to them is acceptable.

We encourage you to use your vote. Please read the information on this page in detail before voting.

In their offer letter dated 16 December, Manx Care has stated that the offer ‘will include current staff members in post at the time a pay agreement is signed on behalf of employer and staff side.'

RCN members rejected a 4% offer for 2024/5 however some Unions accepted it. The offer was awarded to all Manx Care employees anyway, however the RCN remained in dispute with Manx care.

Negotiations have continued, with RCN members being asked whether they would be willing to take industrial action. RCN members said they would be willing to take action over the rejected offer. This negotiation has resulted in a further 1% offer on top of the already awarded 4% for 2024/5.  Should this offer be accepted by members, it will close negotiations for 2024/5.

The effect on an individual’s benefits depends on individual circumstances and the type of benefit. You can find out more about your benefit situation on the Isle of Man government website.

Members who are facing significant hardship and who need additional support and advice, can also seek support from the RCN Foundation.

The pay offer is a gross (total) figure, and you need to take deductions into account when considering the pay award.

Pay is subject to tax, national insurance contributions and, if you are a member of the GUS pension scheme, pension contributions. You should check your current income tax, national insurance rates and pension contributions on your pay slip to assess how the pay offer will affect your take-home pay.

Further information is also available on the Isle of Man government website.

Rises in pensionable pay can affect the contributions you will pay into the scheme.

Some staff, as a consequence of their annual pay uplift and/or incremental pay progression, may end up paying a higher percentage of contributions. This is because their pensionable earnings have increased, and they move into a higher tier in the pension contribution framework. This may make it seem like the value of the individuals pay uplift has been lost. Staff receiving pensionable allowances in addition to their basic pay (for example unsocial hours payments) may also be affected by this.

This pay offer relates to all health and social care staff directly employed by Manx Care on the Isle of Man on a Manx Pay Terms and Conditions (MPTC) contract.

Part-time workers employed by Manx Care are included in the pay offer. The offer is a consolidated offer and will be applied across each pay band. The monetary amount will be adjusted for those not employed full-time (i.e. pro-rata based on employed hours for part-time staff).

Bank staff working for Manx Care terms and conditions will be affected by the pay offer and therefore are eligible to participate in this survey. However, please check your bank contract to ensure it is Manx Care terms and conditions and not an internal pay system that differs from the terms and conditions.

The RCN expects this to be a fully-funded pay offer from the Isle of Man Government.  

You can find out more about the wider campaign on the RCN website at our 'Valued through fair pay' page.