NHS pay enhanced offer for Wales

Following lengthy negotiations between the Welsh government and health unions including the CSP, there is now an enhanced pay offer for NHS staff in Wales for this year.

Poster for WithNHSStaff campaign for a fair pay rise

Improved offer for Wales

The enhanced offer includes an extra day's annual leave for all staff and a non-consolidated 1 per cent uplift for staff in Agenda for Change bands 1-5. The CSP will shortly be surveying all NHS employed members in Wales to gather your views.

On 30 July 2021, the Welsh Government announced that it would be implementing the Pay Review Body's recommendation of a 3 per cent pay rise for all NHS staff. Since that point, health unions in Wales have met the Welsh health minister and officials to negotiate an enhanced offer for NHS staff in Wales. As a result of these negotiations, we have received the below offer and we will now be moving to consult members in Wales. We recognise this new offer does not meet the pay aspirations of most of the health unions, including the CSP, which called for a significant rise. However, we do believe it is a clear improvement and is the best that can be achieved through negotiation. It also represents the full and final offer.

The offer

Following negotiations, the Welsh Government has made the following offer:

  • An additional day of annual leave, pro rata, for all employed NHS staff. This would be recurrent
  • A one off non-consolidated additional payment of 1 per cent for those on bands 1-5, and the F1 doctors who fall into this pay band. It is estimated that 61,000 staff would benefit from this. This payment would not be pro rata.
  • To put resource behind a partnership group that looks at staff welfare and brings together new initiatives and existing best practice – for example, protected time for continuing professional development (CPD).
  • A scheme to allow staff to sell back their unused annual leave from their carryover from 2020 to 2021, plus a proportion of leave from 2021 to 2022 at the end of the 2021 to 2022 leave year.Any provision of sell back of 2021 to 2022 leave will need to be costed and the proportion based on affordability.

Health unions have also secured a commitment from the Welsh Government that should any further funding from central government become available, it will reopen pay discussions. The initial offer from the Welsh Government would have been worth in the region of £10 million, but after the negotiations the improved offer is now in the region of £27 million.


The CSP pay sub-group of the Employment committee (which is the committee of members that oversees pay, terms and conditions for CSP members) has reviewed the offer, and although it is not the significant rise we were campaigning for this year, it does represent an improvement. 

It is also considered the best that can be achieved through negotiation and the full and final offer from the Welsh Government. 

The CSP is therefore recommending members accept the offer on that basis.

Next steps

Members who work in the NHS in Wales started receiving emails on the 15th November asking them to vote on whether they accept or reject the enhanced offer in Wales. The consultation is expected to be open for about 3 weeks and it is very important you cast your vote once you have read the information above. Once the consultation has closed, the Pay Sub-Group will consider the results of the CSP vote.

All the health unions who are consulting on this offer will share their results at the Welsh Partnership Forum in mid December. The final decision will be based on the outcome from all health unions and whether or not there is a majority acceptance. If the offer is accepted prior to Christmas, the annual leave will be implemented immediately and the payment will be made in January.

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