Explained: Everything you need to know about the 3% NHS pay rise

22 July 2021, 11:24 | Updated: 22 July 2021, 11:27

NHS workers are set to receive a 3% pay rise
NHS workers are set to receive a 3% pay rise. Picture: Alamy
EJ Ward

By EJ Ward

Explained: Here's everything you need to know about the proposed 3% pay rise for NHS staff which some health unions have branded "insulting."

A 3% pay rise for NHS staff in England is recognition "for their pandemic contribution during an unprecedented year" the Government has said, but the uplift has proved controversial.

Health Secretary Sajid Javid said the pay rise was despite a wider public sector pay pause, but Labour and unions have been quick to condemn the move.

Labour's Shadow health secretary Jon Ashworth branded the officer an "insult" telling MPs in the Commons: "It was a shambles yesterday, an insult to the House and it was a let-down for health and care staff.

"Ministers have been dragged kicking and screaming to this 3% settlement."

What is happening?

The Department for Health and Social Care (DHSC) said it had accepted recommendations of independent review bodies and would be giving NHS staff in England a 3% pay rise backdated to April.

It means the "average nurse" will receive an additional £1,000 a year, while many porters and cleaners will get around £540, the DHSC said.

In a statement, minister for Care Helen Whately said: "Our NHS staff have worked incredibly hard to fight the pandemic for over eighteen months and I'm glad to confirm we are accepting the pay review bodies' recommendations in full this year, so staff in their remit will receive a 3% pay rise."

How is NHS pay decided?

Independent bodies - the NHS Pay Review Body and the Review Body for Doctors' and Dentists' Renumeration - make non-binding recommendations to the Government, having taken advice from Government departments, unions and others.

The Government's own recommendation to the pay review body, of a 1% increase, proved controversial in March.

A leading union set up an industrial action fund, and made calls for the public to support a slow hand clap against the proposals, while health minister Nadine Dorries said Government could not afford to give NHS staff in England a pay rise of more than 1%.

Who is and isn't covered by the pay rise?

The pay rise is for nurses, paramedics, consultants, and dentists in England and does not cover doctors and dentists in training.

Is it the same in the other nations?

Health spending is devolved, so pay is a matter for parliaments in Wales, Northern Ireland and Scotland.

In Wales, Health Minister Eluned Morgan agreed a 3% pay rise for all NHS staff, and in May, health workers across Scotland accepted a pay rise from the Scottish Government that is worth at least 4% for most staff.

How much have unions asked for?

Unions have said the proposed pay increase becomes a pay cut when inflation is factored in.

Pat Cullen, interim general secretary of the Royal College of Nursing (RCN), said Treasury forecasts predict inflation to reach 3.7% and, therefore, a 3% pay rise becomes a loss of £200.

Campaign group Nurses United have called for a 15% pay rise, saying staff had lost more than that in real terms, while the Fair Pay For Nursing campaign aims to secure a fully-funded 12.5% pay increase for all nursing staff.

What happens now?

The pay rise will be laid before Parliament on Thursday morning, while the HCSA, the hospital doctors' union, said it will meet in an emergency session to discuss its response to the pay offer.

Mr Cullen, of the RCN, added: "Nursing staff will remain dignified in responding to what will be a bitter blow to many. But the profession will not take this lying down. We will be consulting our members on what action they would like to take next."

More Latest News

See more More Latest News

Andrew Tate and his brother Tristan 'will be extradited to Britain after their trial in Romania' following rape and human trafficking charges

Tristan and Andrew Tate 'will be extradited to Britain following Romanian trial' over rape and human trafficking charges

London, UK. 9th October 2024. Nick Read, CEO of Post Office Limited, arrives at Aldwych House as the Post Office Horizon IT Inquiry continues. Credit: Vuk Valcic/Alamy Live News

Post Office agrees to compensate hundreds of sub-postmasters following data breach

Pupils’ enjoyment of school suffers ‘substantial decline’ in Year 7, study finds

Pupils’ enjoyment of school suffers ‘substantial decline’ in Year 7, study finds

Britain's Chancellor of the Exchequer Rachel Reeves speaks during a reception following the UK-EU summit, in London, Monday May 19, 2025. (Hannah McKay/Pool via AP)

Rachel Reeves U-turns on plans to cut ISA limit to £4k

Prescription drugs

Rise in drug-related deaths blamed for increase in UK mortality rate compared with other high-income countries

Emma Raducanu

Emma Raducanu powers to impressive win over Daria Kasatkina in Strasbourg

Ali Faris Muhammad, 26, died of his wounds after an “altercation” in Brent on Sunday, May 18.

Victim of fatal stabbing in Brent named by police after 'altercation' in north-west London

Donald Trump has reportedly held a phone call with Putin

Russia and Ukraine to 'immediately' start ceasefire talks as Zelenskyy pitches ‘high-level’ meeting of world leaders

Zak Starkey has also previously played with Oasis, Lightning Seeds and Johnny Marr

Zak Starkey sacked from The Who after on-stage row, but says he was told to pretend he quit

Konakli city near Alanya by the Mediterranean Sea, Turkey

Mystery as British tourist, 43, found dead under 'suspicious circumstances’ on Turkish hotel bathroom floor

Donald Trump, left, and Vladimir Putin, right, held a two hour phone call on Monday.

Trump says Russia and Ukraine will ‘immediately start negotiations toward a ceasefire’ after two-hour call with Putin

Food distributed to Palestinians in Gaza under Israeli attacks

First aid trucks enter Gaza after 10-week blockade but UN warns it's just a 'drop in the ocean'

David Chester, 57, died in the blaze

Tributes paid to 'hero' father killed helping firefighters during blaze at former RAF base

One-legged dementia patient Donald Burgess was pepper sprayed and tasered three weeks before he died

Moment police pepper spray and taser amputee care home resident, 92, in his wheelchair shown in court

A third man has been arrested in connection with a string of arson attacks on Keir Starmer-linked properties.

Third person arrested over arson attacks at properties linked to Keir Starmer

Lulu with her dog Fudge at the launch 'Lulu's Mental Health Trust' in East London.

Lulu opens up about going into therapy as she says completing new memoir felt 'intense'