1. How is the NHS Pay Rise Determined?
NHS staff salaries (for nurses, doctors, allied health professionals, etc.) are typically decided by:
- The NHS Pay Review Body (PRB), which makes recommendations.
- Negotiations between the government and unions (e.g., UNISON, RCN, BMA).
- Final approval by the UK government.
Key Notes:
- England, Scotland, Wales, and Northern Ireland may have slightly different pay agreements.
- The increase is usually linked to inflation, economic conditions, and NHS funding.
2. Predicted 2025 Pay Rise (Not Yet Confirmed)
No official announcement has been made, but here are the expectations:
A) Union Demands (UNISON, RCN, BMA)
- In 2024, most NHS staff received an average 5% raise.
- For 2025, unions are pushing for an above-inflation increase (likely 6-8%).
- Reasons:
- High cost of living and inflation.
- Ongoing NHS staffing shortages and retention crises.
B) Government’s Likely Position
- The government may offer a lower increase (4-5%) to control public spending.
- Budget constraints could lead to tough negotiations with unions.
3. Who Will Be Affected?
- Agenda for Change (AfC) staff (nurses, midwives, healthcare assistants, etc.).
- Doctors and consultants (negotiated separately by the BMA).
- Support staff (cleaners, admin workers).
Example Salary Increases (Estimates):
| Band | Current Salary (2024) | +5% Increase (2025 Est.) | +7% Increase (2025 Est.) |
|---|---|---|---|
| Band 2 | £22,383 | £23,502 | £23,950 |
| Band 5 | £28,407 | £29,827 | £30,396 |
| Band 7 | £43,742 | £45,929 | £46,804 |
(Exact figures will be confirmed after the PRB report.)
4. When Will It Be Announced?
- June-July 2025: PRB recommendations expected.
- August-September 2025: Government decision and announcement.
- Pay rise likely backdated to April 2025.
5. Will There Be Strikes?
- If the pay offer is too low, nurses and doctors may ballot for strikes (similar to 2022-23).
- Unions have warned: “No fair pay = strike action.”
2025 NHS Pay Rise Still Uncertain, But…
- Unions want → 6-8%.
- Government may offer → 4-5%.
- Final decision expected by late summer 2025.
Where to Check for Updates:
- NHS Employers
- GOV.UK – DHSC
- UNISON, RCN, BMA union websites.