NHS pay agreement for England

NHS pay in England is changing, with a three-year agreement negotiated by the CSP and other trade unions.


The new arrangements include pay rises over three years 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 final year pay deal, downloadable resources and further information.

How will my pay change?

Find out how your basic pay will be changing in year 3.

The pay journey tool will show you how your pay will change year on year including annual pay uplifts and individual progression (if you are not at the top of your pay band). To use the tool you will need to know your spine point on 31 March 2018 if you were employed on or before this point. This can be found by looking at this table. You will also need to know the month of your pay step date if you are not yet at the top of your band.

If after using the table you cannot find your spine point, contact your employer for assistance. Staff employed on or after 1 April 2018 will not need to know any spine point information.

For more information on pay changes in year 3 refer to the guidance on the NHS Employers website

Other elements of the agreement

The three year agreement also included other elements that have now been agreed between NHS Employers and trade unions, and were implemented April 1st 2019.

Pay progression

A new pay progression system will be effective from 1st April 2019 for new starters or those promoted to a new role on or after 1 April 2019. Staff in post before 1 April 2019 will retain their existing pay step date (previously referred to as incremental date) and move through their pay journey during transition, subject to any existing agreements on pay progression.

Further information can be found in guidance for NHS staff.

Enhanced shared parental leave

Shared parental leave is currently available in the NHS but unlike maternity and adoption pay, shared parental pay has only been paid at statutory levels. A new agreement came into place from April 1st 2019 toenhance shared parental to the same level as occupational maternity / adoption pay. This will make sharing parental leave a genuine choice for many couples working in the NHS.

Child bereavement leave

From 1 April 2019, a new provision was made available to all staff who suffer a child bereavement. The NHS is an early implementer of the Parental Bereavement (Leave and Pay) Act 2018 and through agreement with the NHS trade unions, a number of the statutory elements have been enhanced.

Further information on these two elements can be found on the NHS Employers website

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