NHS pay: Wales

Find out about the three-year pay arrangements for the NHS in Wales. They include changes to the pay structure to make it better and fairer.


We are now entering year three of the pay arrangements and you can check your pay for year three using the Wales pay journey tool.

How will my pay change?

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. You will also need to know the month of your pay step date if you are not yet at the top of your band. Staff employed on or after 1 April 2018 will not need to know any spine point information.

Other elements of the new arrangements

The three year agreement also included other elements, some of which have now been agreed between NHS Employers and trade unions at the Welsh Partnership Forum, and some are still under discussion.

Staff health and wellbeing

An NHS Wales Menopause Policy has been agreed in partnership.

The Welsh Partnership forum, in partnership with Welsh Government and NHS Employers, have revamped the sickness policy. The new policy is called Managing Attendance at Work and focuses on managers knowing their staff, being compassionate, using discretion and actively managing people to enable them to remain in work. Alongside this, since October 2019, it was agreed that enhancements during sick pay would be provided after the first 2 months of sickness.


The Welsh Partnership forum also reached agreement on a new pay progression policy and enhanced shared parental leave.

The special leave policy is currently being reviewed but it has been agreed that those who are suffering domestic abuse will have a right to 10 days of special leave.

Background information

More details of the background to the agreement are available for download below but also at NHS pay for Wales.

Members should contact their employer if they have any queries about their pay packets. If problems persist, members should get in touch with their local steward.

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