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Nursing Pay

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

From July 2018 staff, typically those at the top of their bands, can expect to receive an increase of 3% in their pay packets, with backdated pay from April 2018 being awarded in August. The initial increase for some other staff from July 2018 will be less than 3%, typically 1.5%, until their increment date. 

RCN members working in the NHS in Scotland are currently being consulted on a pay offer. Take part in this consultation

The Welsh Government and the joint health trade unions in Wales have reached agreement on a proposed three-year pay deal for NHS staff in Wales. Find out more about this deal.

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.


RCN HQ in London UK

NHS pay deal: EGM and external review

An update from Chair of RCN Council Maria Trewern on behalf of RCN Council.

Read more

Read more about the deal

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

Who the deal is for

The deal is for staff working for the NHS in England only. However, we are committed to UK-wide pay, terms and conditions. 

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 is being simplified. Overlaps between the bands are being 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

You may have heard that as part of the pay deal staff would be required to give up a day of annual leave each year.

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



The deal will improve staff happiness and wellbeing at work

The deal will see improvements to productivity in the NHS – staff will be able to progress and to learn new skills and knowledge. Increments will be based on increased capability and development.

There is also a partnership approach to health and wellbeing in the deal to address the current high rate of sickness in the NHS. We believe keeping staff happy and well at work would result in the desired rise in productivity.

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.


NHS Employers pay journey tool

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