The argument being put forward by health unions that we are getting real terms cuts is disingenuous. I work for the NHS in Scotland on the Agenda for Change pay framework (nursing, midwifery, physios, admin etc.- The scales in Scotland are slightly higher than England but very similar structure. )
In 5 years, my own pay (Band 7, which includes likes of ward sisters etc) will have increased by over 52% based on the offer on the table for 2022/23. I don’t get any bonuses, overtime etc but like all pay bands there is automatic pay progression. Someone starting out on Band 5 (staff nurse etc) 5 years ago will have increased their salary by around 57% over that time, Band 6 (senior staff nurses etc) new in post 5 years ago will be 61% better off by now.
People on the top of their bands who don’t want/get promotion don’t fare as well, I’m on the top of my band now so that will taper off.
I note my nursing and midwifery colleagues up here have voted to strike but I think making it about pay is unproductive as it detracts from more pressing issues. All front line staff are facing immense pressure, for a while host of reasons there aren’t enough, we have so many vacancies, many are related to a raft of people who have retired in one big tranche related to pension reforms. The money is there to fund the vacancies but there’s a lack of people (who’d blame them given the doom laden commentary of the NHS) people have left to join agencies but I’d say that’s less of a problem than reported. Covid made sickness absence go through the roof, the additional pressure on staff from covering this has caused burn out, going off sick, vicious circle. Add to that the lack of investment in social care at one end and chaotic primary care at the other causing log jams that are affecting emergency departments and ambulances, it again ramps up the pressure and staff feel it most. Paying us more is not going to resolve that in any way, it’s top to bottom reform of NHS and Social Care but I’ve not seen the political will to do this in 20 years of working for the NHS both sides of the border. I get why the Unions focus on pay, much easier to sloganise but they’re not really helping us out with the real problems.
In 5 years, my own pay (Band 7, which includes likes of ward sisters etc) will have increased by over 52% based on the offer on the table for 2022/23. I don’t get any bonuses, overtime etc but like all pay bands there is automatic pay progression. Someone starting out on Band 5 (staff nurse etc) 5 years ago will have increased their salary by around 57% over that time, Band 6 (senior staff nurses etc) new in post 5 years ago will be 61% better off by now.
People on the top of their bands who don’t want/get promotion don’t fare as well, I’m on the top of my band now so that will taper off.
I note my nursing and midwifery colleagues up here have voted to strike but I think making it about pay is unproductive as it detracts from more pressing issues. All front line staff are facing immense pressure, for a while host of reasons there aren’t enough, we have so many vacancies, many are related to a raft of people who have retired in one big tranche related to pension reforms. The money is there to fund the vacancies but there’s a lack of people (who’d blame them given the doom laden commentary of the NHS) people have left to join agencies but I’d say that’s less of a problem than reported. Covid made sickness absence go through the roof, the additional pressure on staff from covering this has caused burn out, going off sick, vicious circle. Add to that the lack of investment in social care at one end and chaotic primary care at the other causing log jams that are affecting emergency departments and ambulances, it again ramps up the pressure and staff feel it most. Paying us more is not going to resolve that in any way, it’s top to bottom reform of NHS and Social Care but I’ve not seen the political will to do this in 20 years of working for the NHS both sides of the border. I get why the Unions focus on pay, much easier to sloganise but they’re not really helping us out with the real problems.