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| NHS strikes: What is the new NHS pay offer? | |
| (about 1 month later) | |
| The government has reached a pay settlement with a million health workers after a majority of unions representing NHS staff backed the deal. | |
| Under the deal, which was first proposed in March, staff will get a 5% pay rise plus a one-off sum of at least £1,655. | |
| But the Royal College of Nursing and two other unions have threatened more strikes. | |
| NHS pay deal signed off for one million staff | |
| Which NHS staff have been striking and what pay rises do they want? | |
| Nurses | Nurses |
| Members of the Royal College of Nursing (RCN) union in England rejected the government's current pay offer and held a 24-hour strike which ended at midnight on 1 May | |
| The strike was originally scheduled to be 48 hours long, but the High Court ruled that would be unlawful because the existing RCN strike mandate expired after 24 hours | |
| In March the government offered a 5% pay rise for 2023-24 and a one-off payment of at least £1,655 to top up last year's salary, depending on staff grades | |
| The offer covers all NHS staff except doctors | The offer covers all NHS staff except doctors |
| While 11 NHS unions accepted the pay deal on 2 May, the RCN rejected it again and warned it will continue to pursue strike action. To do so, it would need to ballot its members again to get another strike mandate | |
| Unite also failed to back the deal - it currently has a strike mandate for local strikes in some ambulance services and a few hospitals | |
| In Scotland, members of RCN and the Royal College of Midwives voted to accept a pay offer of 6.5% for this year from the Scottish government | In Scotland, members of RCN and the Royal College of Midwives voted to accept a pay offer of 6.5% for this year from the Scottish government |
| That is on top of a 7.5% pay rise imposed for 2022-23 - meaning staff will see pay increase by 13-14% over two years | That is on top of a 7.5% pay rise imposed for 2022-23 - meaning staff will see pay increase by 13-14% over two years |
| Health unions in Wales and Northern Ireland are still in negotiations with their governments | Health unions in Wales and Northern Ireland are still in negotiations with their governments |
| Ambulance staff | Ambulance staff |
| About 2,000 Unite members who are paramedics, call handlers and other staff working for ambulance trusts are walking out on 1 and 2 May in several parts of England | |
| Ambulance workers in England have been offered the same deal as nurses and midwives - 5% from April and a one-off payment of at least £1,655 | Ambulance workers in England have been offered the same deal as nurses and midwives - 5% from April and a one-off payment of at least £1,655 |
| GMB and Unison members have accepted the pay offer, but members of Unite have voted to reject it | |
| Strikes which had been scheduled in March by Unison, Unite and the GMB were called off while pay talks took place | Strikes which had been scheduled in March by Unison, Unite and the GMB were called off while pay talks took place |
| Junior doctors | Junior doctors |
| Junior doctors in England staged strikes between 13 and 15 March and a four-day walkout which ended at 07:00 BST on 15 April | |
| The British Medical Association (BMA) said junior doctor roles have seen pay cut by 26% since 2008 once inflation is taken into account. It wants a 35% pay rise | The British Medical Association (BMA) said junior doctor roles have seen pay cut by 26% since 2008 once inflation is taken into account. It wants a 35% pay rise |
| The government has said a 35% pay increase is "unreasonable in the current economic context" | The government has said a 35% pay increase is "unreasonable in the current economic context" |
| What have strikes meant for patients? | |
| Nurses | Nurses |
| For the first time, the 24-hour walkout from 20:00 BST on 30 April to 20:00 on 1 May involved NHS nurses across all departments. | |
| However every hospital was guaranteed a minimum level of cover for intensive care and trauma as the RCN has to abide by trade union rules to ensure life-preserving care can be provided during a walkout. | |
| In the past, NHS advice has been to dial 999 in an emergency and attend hospital appointments on strike days unless told otherwise. | In the past, NHS advice has been to dial 999 in an emergency and attend hospital appointments on strike days unless told otherwise. |
| Nurses out on strike in half of England’s NHS | |
| Ambulance staff | Ambulance staff |
| The advice remains to call 999 in an emergency. | The advice remains to call 999 in an emergency. |
| The most life-threatening situations - such as cardiac arrest - will be sent an ambulance | The most life-threatening situations - such as cardiac arrest - will be sent an ambulance |
| Serious conditions not obviously life-threatening might not be immediately attended | Serious conditions not obviously life-threatening might not be immediately attended |
| Less urgent calls - such as women in late-stage labour - will not be prioritised | Less urgent calls - such as women in late-stage labour - will not be prioritised |
| Those who fall, or suffer other non-life-threatening injuries, are unlikely to receive 999 care. | Those who fall, or suffer other non-life-threatening injuries, are unlikely to receive 999 care. |
| What calls will ambulances answer on strike days? | What calls will ambulances answer on strike days? |
| Junior doctors | Junior doctors |
| More than 196,000 hospital appointments had to be cancelled because of the strike in April. | More than 196,000 hospital appointments had to be cancelled because of the strike in April. |
| The previous strike in March disrupted more than 175,000 appointments and procedures. | The previous strike in March disrupted more than 175,000 appointments and procedures. |
| NHS advice was to dial 999 in an emergency and attend hospital appointments on strike days unless told otherwise. | NHS advice was to dial 999 in an emergency and attend hospital appointments on strike days unless told otherwise. |
| Emergency care will remain available | Emergency care will remain available |
| Newborns and people needing critical or trauma care will be prioritised | Newborns and people needing critical or trauma care will be prioritised |
| Anyone needing urgent care should dial 111 | Anyone needing urgent care should dial 111 |
| GP services will not be directly affected, so patients should attend GP appointments | GP services will not be directly affected, so patients should attend GP appointments |
| Some hospital dentists will also be on strike | Some hospital dentists will also be on strike |
| How much are NHS workers paid? | How much are NHS workers paid? |
| Junior doctors | Junior doctors |
| The starting salary for a junior doctor in England is £29,000. After finishing their second year of training they earn more than £40,000 on average. | The starting salary for a junior doctor in England is £29,000. After finishing their second year of training they earn more than £40,000 on average. |
| Doctors at this level earned about £14,000 in extra payments - for things like unsociable hours - in the year to September 2022, according to NHS Digital. | Doctors at this level earned about £14,000 in extra payments - for things like unsociable hours - in the year to September 2022, according to NHS Digital. |
| By the end of their training, which can last 15 years for some, basic pay is more than £53,000. | By the end of their training, which can last 15 years for some, basic pay is more than £53,000. |
| Why are doctors demanding the biggest pay rise? | Why are doctors demanding the biggest pay rise? |
| Nurses | Nurses |
| The starting salary for a nurse is England is just over £27,000 a year. | The starting salary for a nurse is England is just over £27,000 a year. |
| A nurse with four years' experience could expect to earn close to £33,000. On average, nurses took home £4,200 in extra payments in the year to September 2022. | A nurse with four years' experience could expect to earn close to £33,000. On average, nurses took home £4,200 in extra payments in the year to September 2022. |
| The most senior nurse consultants can earn up to nearly £55,000. | The most senior nurse consultants can earn up to nearly £55,000. |
| Does the average nurse earn £34,000 a year? | Does the average nurse earn £34,000 a year? |
| Ambulance workers | Ambulance workers |
| Ambulance workers include paramedics, emergency medical technicians, care assistants and call handlers. | |
| The different roles straddle a number of pay scales, and staff can also receive additional payments for overtime and shift working. | |
| For example, paramedics in England typically start on Band 5, earning from £27,055 in 2022/2023. | |
| After two years they can move to Band 6, which starts at £33,706. | |
| According to the Nuffield Trust's analysis of NHS digital figures, the average NHS salary of a paramedic in England in the year to March 2022 (including those working part-time) was £46,643. That includes £13,854 from extra payments. | |
| Emergency medical technicians typically start at Band 4, earning from £23,949. | |
| Physios | Physios |
| Starting salaries for physios are just above £27,000 in England. | Starting salaries for physios are just above £27,000 in England. |
| The most experienced can earn more than twice that in the NHS. Many combine NHS and private work. | The most experienced can earn more than twice that in the NHS. Many combine NHS and private work. |
| In the year to September 2022, physios received nearly £3,000 in extra payments. | In the year to September 2022, physios received nearly £3,000 in extra payments. |
| Correction 2 May: An earlier version of this story incorrectly described emergency medical technicians as "support staff". This has been corrected and salary details updated. | |
| Related Topics | Related Topics |
| UK ambulance services | UK ambulance services |
| NHS crisis | NHS crisis |
| Doctors | Doctors |
| Nursing | Nursing |
| NHS | NHS |
| Royal College of Nursing | Royal College of Nursing |
| Strike action | Strike action |