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NHS pay rise could force further cuts to terms and conditions


The cost to the NHS of a 1% pay rise could force trusts to seek further reductions in terms and conditions as they struggle with financial pressure, Nursing Times has been told.

The government announced last week it would end the two-year freeze on basic pay, with a 1% increase for staff on the Agenda for Change framework, effective from 1 April.

Unions reacted with anger to the news pointing to the fact the increase was half the current consumer price index inflation rate of 2.7% and follows increases in pension contributions.

But NHS Employers said the increase was “unnecessary” and would add an extra £500m in cost for the NHS, equivalent to 15,000 more nurses.

The extra pay cost comes just a month after employers and unions agreed reductions in pay, terms and conditions within the Agenda for Change framework. These changes are expected to deliver £275,000 a year savings for an average trust with 3,500 staff.

One source close to the Agenda for Change negotiations warned of “increased financial pressure in the system” meaning NHS trusts would need to find greater efficiencies and productivity.

He said: “It will keep the focus on terms and conditions and whether they are getting value for money and that things are sustainable. It also means trusts will need to consider other areas as well such as skill mix, service redesign and how we deploy and use staff.”

Chris Hopson, chief executive of the Foundation Trust Network said: “This just increases the pressure for a more radical look at what appropriate pay, terms and conditions are taking a three to five year view.”


Readers' comments (20)

  • How much will pathetic nurses continue to take before they say enough is enough? You cannot demand the highest level of commitment, skill, education, qualification and professionalism, then pay peanuts.

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  • Everybody out? No. I thought not. Ah well. Expect more of the same.

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  • just another excuse to errode the terms and conditions

    but will nurses strike and finally stand up to this govt...NO thought not

    you reep what you sow...thank god im leaving

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  • It is not the nurses to blame the cuts are everywhere and the government are not willing to pay more for nurses pay

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  • Management:Here's a pay rise of £200....but to pay for it we are cutting £300 from your enhancements.

    Snivelling nurse: Lor luv a duck mister you don't need to be so kind unless you can spare it of course....

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  • Anonymous | 19-Mar-2013 11:08 am

    Nurses have never fought effectively for decent pay and conditions of employment....ever. That is their fault.

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  • grumpy

    strike - or stop whining

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  • Is it true that once our hospitals acheive foundation status they are going to change all our contracts, make us apply for our own jobs, sack a few and stop unsociable hours and reduce holidays? Is this also going to affect the bosses pay also?

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  • I am so glad that I am coming the end of my nursing career.
    We are a load of wimps, never standing up for ourselves, never sticking together. It is no wonder that we have huge boot marks all over us.

    We should stick together, stand up for ourselves and STRIKE to prevent any further erosion of our hard earned AFC,

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  • Strangely enough, the terms and condition alterations only seem to apply to the care deliverers... the people at the front, the people who care. In fact these are the very people who represent the service the NHS was conceived to deliver, before Thatcher and her obscene political machinations became involved.

    Will the accountants and failed businessmen who have taken over the reins face a retructuring of their salaries or practices?

    Possibly not.....

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