London Daily

Focus on the big picture.
Monday, Nov 02, 2026

NHS pay deal signed off for one million staff

NHS pay deal signed off for one million staff

More than a million NHS staff in England are to receive a 5% pay rise, after health unions backed the deal.

Staff including ambulance workers, nurses, physios and porters will also get a one-off sum of at least £1,655.

The pay deal was signed off at a meeting between the government and 14 health unions representing all NHS staff apart from doctors and dentists.

Ministers said it was time to bring the strikes to an end - but three unions are threatening to continue action.

However, only one - Unite - currently has a strike mandate and that is for local strikes in some ambulance services and a few hospitals.


'Missing out'


Unison head of health Sara Gorton, who chairs the joint NHS union group, said: "NHS workers will now want the pay rise they've voted to accept.

"The hope is that the one-off payment and salary increase will be in June's pay packets."

But Ms Gorton said health staff should not have needed to strike on such a scale - nurses, physiotherapists and ambulance staff have all taken strike action since December.

"Proper pay talks last autumn could have stopped health workers missing out on money they could ill afford to lose," she said.

"The NHS and patients would also have been spared months of disruption."


'Fair outcome'


Health Secretary Steve Barclay said he was pleased the offer, proposed in March, had been accepted by the unions after members had voted on it.

"Where some unions may choose to remain in dispute, we hope their members - many of whom voted to accept this offer - will recognise this as a fair outcome that carries the support of their colleagues and decide it is time to bring industrial action to an end.

"We will continue to engage constructively with unions on workforce changes to ensure the NHS is the best place to work for staff, patients and taxpayers."

Despite some of the unions rejecting the offer, the deal was agreed after a majority backed it as a result of the support of some of the biggest unions in the NHS, such as Unison, the GMB and those representing physiotherapists and midwives.

All staff will now receive the extra pay.

The Royal College of Nursing (RCN), one of the unions that rejected the offer, has warned it will continue to pursue strike action.

But it needs to hold another ballot of its members, as its six-month mandate expired at the end of Monday, when its latest walkout ended.


RCN general secretary Pat Cullen said the union would start balloting in the coming weeks.

In a letter to Mr Barclay, she said while she "entirely respected" the other unions who had voted to accept, she would continue to fight for her members, who voted to reject the offer despite the RCN leadership recommending it to them.

"Nursing is the largest part of the NHS workforce and they require an offer that matches their true value," she added.

Unlike last time, the RCN is holding a national ballot rather than a series of local workplaces ones.

That means it will be harder to win a strike mandate - something dubbed an "all or nothing" approach, in one last attempt to persuade ministers to return to the negotiating table.


Pay claim


The health secretary also met the British Medical Association on Tuesday to see if the two sides could agree a way forward in the junior doctors' pay dispute.

They are on a different contract so not affected by the agreement reached with the other NHS staff.

The BMA wants a 35% rise, to make up for 15 years of below-inflation wage increases.

Junior doctors have held two strikes so far. Mr Barclay has said the pay claim is unaffordable.

A government spokesman said the discussion was "constructive" and both parties would meet again in the coming days.

Newsletter

Related Articles

0:00
0:00
Close
Home Office Implements Enhanced Digital Border Controls and Visa Processing Systems at Major Airports
Office for National Statistics Reports Stable Employment Participation Rates Across Regional Labor Markets
Department for Business and Trade Announces Strategic Partnership to Secure Critical Mineral Supply Chains
Scottish Government Unveils Regional Economic Development Strategy to Boost Advanced Manufacturing in Glasgow and Dundee
Treasury Officials Review Taxation Frameworks and Capital Gains Rules Ahead of Autumn Budget Disclosures
National Health Service Leaders Warn of Winter Capacity Pressures Across Acute Care Facilities
Bank of England Prepares for Key Interest Rate Decision Amid Sticky Inflation and Fiscal Policy Pressures
Home Office Expands Border Security Operations and Intelligence Sharing With European Partners
Office for National Statistics Reports Modest Retail Sales Growth Ahead of Crucial Christmas Trading Season
Welsh Government Unveils Strategic Plan to Boost Regional Technology Innovation and Digital Skills Training
Department for Environment Food and Rural Affairs Implements New Agricultural Subsidies Framework for English Farmers
Scottish First Minister John Swinney Announces Major Regional Infrastructure and Green Energy Investment Strategy
National Health Service Leaders Warn of Severe Winter Pressures and Mounting Accident and Emergency Backlogs
Bank of England Monetary Policy Committee Signals Cautious Interest Rate Path Amid Persistent Services Inflation
Chancellor of the Exchequer Rachel Reeves Finalizes Autumn Budget Framework Aiming to Close Public Sector Fiscal Gap
Department for Science, Innovation and Technology Prepares Enhanced Artificial Intelligence Safety and Cyber Defense Frameworks
United Kingdom Government Expands International Sanctions Framework Against Russian Shadow Fleet and Financial Enablers
Institute of Directors Reports Sharp Post-Budget Drop in Business Confidence Despite Long-Term Investment Intention Shifts
Chancellor John Healey Defends Sweeping Fiscal Adjustments and Household Support Packages Following Autumn Budget
Parliamentary Petitions Committee Schedules Major Legislative Debates on Special Educational Needs and Non-Stun Meat Labelling
Regional Devolution and Good Growth Fund Frameworks Reshape Local Government Funding Across English Regions
Loughborough University Economic Analysts Highlight Substantial Uncertainty Surrounding Public Sector Efficiency Savings
British Legal Sector Drives Sixty Billion Pounds in Annual Economic Output While Employing Over Half a Million Professionals
Law Society Welcomes New Better Regulation Executive While Pressing for Long-Term Legal Aid Funding Reform
Metropolitan Police and Security Services Heighten Operations Across London Ahead of Large-Scale Public Demonstrations
Bank of England Economists Scrutinize Corporate Tax Adjustments and Public Sector Borrowing Pressures
Chancellor John Healey Defends Autumn Budget Tax and Spending Allocations Following Intense Parliamentary Scrutiny
Department for Environment, Food and Rural Affairs Implements Strict Water Quality Monitoring Rules Following Severe Rainfall and Flooding
Welsh Government Unveils Comprehensive Regional Housing Strategy to Address Rural Affordability and Homelessness Pressures in Cardiff
Office for National Statistics Reports Slowing Consumer Price Inflation and Steady Retail Performance Across United Kingdom Markets
Northern Ireland First Minister Michelle O'Neill and Deputy First Minister Emma Little-Pengelly Advance Cross-Border Infrastructure Agreement in Belfast
Competition and Markets Authority Launches Formal Investigation Into Artificial Intelligence Partnerships Involving Major Technology Corporations
Scottish First Minister John Swinney Secures Cross-Party Support for Devolved Budget Framework and Renewable Energy Expansion
High Court Rules in Favor of Environmental Campaigners Over Department for Energy Security and Net Zero Licensing Procedures
National Health Service England Announces Major Digital Modernization and Artificial Intelligence Diagnostic Rollout Across Regional Trusts
Bank of England Monetary Policy Committee Signals Cautious Approach to Interest Rate Cuts Amid Persistent Wage Growth and Inflation Pressures
British Prime Minister Keir Starmer and Chancellor Rachel Reeves Outline Strategic Infrastructure Plans to Boost Regional Growth and Private Investment
Water pollution remains high despite £5bn investment
Regional Economic Divergence and Industrial Transformation
Technological Sovereignty and Regulatory Scrutiny
Fiscal Consolidation and Public Service Pressures
Automotive Industry Leadership Warns of Imminent Supply Chain Disruptions Following Recent European Trade Negotiations
High Court Delivers Landmark Ruling Affirming Strict Legal Protections for Corporate Data Privacy Against State Surveillance
Welsh First Minister Eluned Morgan Secures Additional Funding for Regional Transport Infrastructure and Rail Modernization
Scottish First Minister John Swinney Announces Major Green Energy Infrastructure Investment Package for Aberdeen
Department for Work and Pensions Proposes Sweeping Welfare Reforms to Incentivize Long-Term Unemployed Back into Work
Competition and Markets Authority Launches Formal Investigation into Artificial Intelligence Partnerships Involving Major Tech Giants
United Kingdom Foreign Secretary David Lammy Concludes High-Level Strategic Talks in Washington on Middle East Security
National Health Service England Unveils Emergency Winter Resilience Plan to Combat Projected Surge in Emergency Admissions
Bank of England Governor Andrew Bailey Signals Cautious Approach to Interest Rate Cuts Amid Persistent Inflation
×