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NHS pay agreement for England

CSP members and other NHS staff in England have accepted pay proposals negotiated by the CSP and other trade unions.

NHS pay changes

The deal includes a three-year pay deal and changes to the pay structure to make it better and fairer.

Crucially, the government committed new money to pay for the deal – not money taken from patient care.

Read on for more about the pay deal, downloadable resources and further information. 

What about Northern Ireland, Scotland and Wales?
Members in Scotland can find out about the Scottish pay rise.  We will keep members updated on any progress in similar offers made in Northern Ireland and Wales.

How will my pay change?

Find out how your pay will change as a result of the England pay deal.

NHS pay calculator

What is the deal?

The deal contains a number of different elements, all of which you can read about in more detail at

Got more questions?

For further information about the pay deal, download our list of frequently asked questions.

Download now

The deal highlights are:

  • increasing pay by at least 6.5 per cent by April 2020 for everyone
  • removing overlaps in pay bands by getting rid of the lowest pay points, whilst keeping the top ones
  • reducing the number of points significantly in pay bands 2-7 meaning it takes fewer years to get to the top
  • higher starting salaries to assist with recruitment and maintain better staffing levels
  • supporting the lowest paid NHS staff by introducing the national living wage
  • protecting unsocial hours payments
  • retaining current levels of annual leave  

Watch a CSP webinar

File 230416The CSP has held two webinars for members that explain the proposed changes. 

Watch now

The CSP is a member-led organisation so it has been essential for all NHS physiotherapy staff to understand the complex offer and to express their views. In England, we ran over 200 workplace meetings reaching over 5,000 members in person. These were accompanied by webinars for those who couldn’t attend the meetings.

Over three weeks in May, members voted online to accept or reject the proposals.

See the results of the consultation

As and when proposals come forward in the other countries in the UK, we intend to go through a similarly thorough consultation with members. 

Why did the CSP recommend the NHS pay proposal in England?

File 230205

  1. The rises will break decisively through the 1 per cent pay ceiling experienced by CSP members since 2010.
  2. Unlike in any other public service, they are separately funded – they will not be financed from existing NHS budgets and will therefore avoid extra strain on patient services.
  3. It will provide a big uplift in starting salaries and faster progression to the top of each pay band.
  4. It removes band overlaps, ensuring promotion comes with a proper pay rise.
  5. These changes should make working in the NHS more attractive. It should boost recruitment and retention, and so somewhat alleviate the load of existing staff while also improving services.

The best possible negotiated deal

While a considerable number of the things that we and other health unions sought have been achieved, we didn’t secure everything. This is the nature of negotiations. We see this as the beginning of recovering pay levels, not the end.

We recognise too that these proposals affect members differently. Those already at the top of their pay bands will receive a 6.5 per cent uplift and an additional 1.1 per cent lump sum in the second year. Those who are still progressing to the top will also gain from bigger increments and quicker progress to the top.

We believe these proposals were the best deal that could be achieved through negotiation and a better deal than the likely alternatives. The proposals were also considerably better than any other pay deal in the public sector for many years.

This is why the CSP’s Industrial Relations Committee and CSP Council decided to recommend the offer to members. Twelve other health unions in addition to the CSP recommended the proposals and the final decision on the proposals will be the collective one of all NHS staff.


More from the CSP

Last reviewed

14 March 2018
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