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Vote on the NHS pay award for Agenda for Change staff in England

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Please read the information below before voting.

Your vote will be counted if your MyRCN record shows that you’re employed by:

  • an NHS organisation in England named in Annex 1 of the NHS Terms and Conditions Handbook, employed on NHS (Agenda for Change) terms and conditions
  • an employer funded and commissioned to provide NHS services and employed on Agenda for Change-aligned or dynamic terms and conditions following a transfer of your employment in England. 

All other votes will be discounted.

What we’re asking you to vote on

The UK government accepted the NHS Pay Review Body recommendations for 2024/25 and announced a pay award for the NHS in England for 2024/25. This is set out below and on the NHS Employers website:

  • A consolidated 5.5% increase with effect from 1 April 2024 for all Agenda for Change staff in the NHS
  • Intermediate pay points to be added for Bands 8 and above
  • The UK government to issue the NHS Staff Council with a funded mandate to begin to resolve outstanding concerns within the AfC pay structure. The Northern Ireland Executive and the Welsh Government to support the issuance of this mandate and to work with the Staff Council, their social partners and with the UK government.

NHS Employers will confirm when increases to salaries and backdated pay (to 1 April 2024) will be implemented.

Why we need to hear from you

The RCN is the voice of nursing in the UK, and it’s essential that you have a say on the changes in our profession that impact you.  

This is an award, not an offer. If you are employed directly by an NHS organisation in England as set out in Annex 1 of the NHS Terms and Conditions Handbook, on Agenda for Change terms and conditions, you will receive it regardless of the result of our consultation. But your views are vital to informing our next steps and further campaigning to achieve fair pay for nursing.  

If you work for an employer funded and commissioned to provide NHS services and you are employed on Agenda for Change-aligned or dynamic terms and conditions following a transfer of your employment, you should also receive this award. We have appealed to the UK government to make sure funding is made available to provide you with this award. That is why we are asking for your views in this consultation.  

It’s up to you to decide if you accept or reject this award. Follow the ‘Proceed to vote’ button below.  

You have until 12 noon on Monday 16 September 2024 to vote.  

Award funding

NHS and non-NHS provider organisations will be funded for the impact of the NHS Pay Review Body and Doctors’ and Dentists’ Review Body pay awards through their contract arrangements with NHS commissioners, where applicable for contracts operating under the NHS Payment Scheme.

  • NHS England will be publishing guidance in due course advising how contracts between NHS commissioners (NHS England and Integrated Care Boards) and provider organisations should be updated to fund providers for the cost impact of the PRB and DDRB pay awards for their staff.
  • The allocations issued to NHS commissioners will also be adjusted to ensure systems are funded accordingly for the cost impact of the pay awards.

RCN position

Your elected RCN member representatives have reviewed the pay award and are not making a recommendation about how you should vote. It is up to you to decide if you accept or reject the pay award.

We encourage you to use your vote. Please read the information on this page in detail before voting on the next page.

Proceed to vote