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Nursing Pay

Members of NHS trade unions in England have voted to accept a new three year pay deal.

Staff are now receiving their 2018/19 pay increase in their monthly pay packets. Staff not at the top of their band can expect to receive more on their increment date. If you have not received what you expected to in your monthly pay packet, talk to your payroll team.

The Department of Health and Social Care has announced that the three-year pay deal for NHS staff in England will be extended to staff on Agenda for Change contracts who are not directly employed by the NHS. This includes organisations that provide services directly commissioned by NHS Clinical Commissioning Groups and/or NHS England. Find out more.

Pay deals in other UK countries

Three-year pay deals for nursing staff working in the NHS in Scotland  and the NHS in Wales have also been agreed. 

Read more about nursing pay in Northern Ireland


Read more about the NHS pay deal

Go to information about:
Who the deal is for
What the deal includes

The NHS pay deal was achieved following the RCN’s campaign to Scrap the CapThe deal achieved:

  • a pay increase for all staff
  • restructure of Agenda for Change contracts so staff get to the top of their band quicker
  • the removal of overlaps between bands. 

Who the deal is for

The deal is for staff working for the NHS or on Agenda for Change contracts delivering NHS services in England only. 

Find out more about the pay situation in:

If you work outside the NHS, please take a look at the RCN's advice about pay, terms and conditions in the independent sector.

What the deal includes

Every member employed in the NHS in England gets a pay rise

Everyone employed in England on an Agenda for Change contract will receive a pay rise. For around half of NHS staff it will be 6.5% over three years - with some receiving much more.

Progress to the top of pay bands will be quicker

The pay structure has been simplified. Overlaps between the bands have been removed and the number of pay points is being reduced, meaning you’ll be on the highest rate for your band sooner.

Changes to the pay structure mean that your pay increase may be different to your colleagues. It’s important to see what this deal means to you.

Unsocial hours payments will continue

We know unsocial hours payments are an essential part of your pay package. The RCN fought to successfully protect them in this deal.

Annual leave will not change

The RCN successfully protected annual leave allowance in England and the number of days you have remains the same.



Improved staff happiness and wellbeing at work

Now the deal has been accepted, NHS Staff Council will begin detailed work on health and wellbeing as well as how access to training helps staff progress through the new pay bands.  

Better starting salaries will improve recruitment potential

The ability to recruit new staff has been compromised by low wages. New starting salaries will be more attractive and for the first time, the lowest paid staff in England will be earning the living wage. Better pay will help to attract new staff to nursing roles.

Your pension contributions

Find out how your pension contribution may change with the England NHS pay deal.

NHS Employers pay journey tool

Find out what the three-year pay deal means for you using the calculator from NHS Employers.

Page last updated - 17/10/2018