Frequently asked questions: Scotland NHS pay offer 2025-26 and 2026-27
Find answers to your questions about the Scottish NHS pay offer for 2025-26 and 2026-27 and our member consultation.
About the offer
The offer proposes:
- An increase of 4.25% from 1 April 2025
- An increase of 3.75% from 1 April 2026.
- An inflation guarantee to ensure the increase in pay each year is a minimum of one percentage point higher than the average Consumer Price Index (CPI) rate for the year.
Read the NHS pay offer in full to find out what it means for you. Read our comment on the offer and on our consultation.
The offer is for all staff working for NHS Scotland on Agenda for Change terms and conditions.
About our consultation
Only RCN members working in the NHS in Scotland on Agenda for Change terms and conditions are eligible to take part.
Members eligible to take part will be sent an email from the RCN containing a link to the voting website where you will be able to view information to help you make your choice. Then have your say in just a few steps on our website. You’ll be able to review the award and choose to ‘accept’ or ‘reject’ it.
You can only take part in the ballot if the RCN can confirm that you work in Scotland and your workplace and employer mean you are employed in the NHS on an Agenda for Change contract. Please ensure your RCN membership details, including employer and place of work, are up to date and encourage colleagues to do the same. You can do this at MyRCN.
If you’re still having trouble, complete our form or call RCN Direct on 0345 772 6100. Please include your membership number in your email and have it ready to read out if you call.
You can find out more about RCN membership and how to get in touch on our membership FAQs.
This is a consultation on the NHS Scotland pay offer from Scottish government for 2025-26 and 2026-27. You can vote to accept or reject this offer. Once members have had their say, your elected representatives will consider next steps.
Who is eligible to vote?
Related topics
Your pay is determined by your employer and not by the Scottish government. The Scottish government’s pay offer relates to staff working for NHS Scotland on Agenda for Change terms and conditions. However, many independent health and social care employers use NHS pay as a benchmark in setting pay. Increases in NHS pay often lead to increases in pay in other parts of the health and care sector.
The Scottish government must invest in nursing, not just in the NHS, but all services and settings where nursing care is delivered. The RCN has always called for pay parity between the NHS and every other health and social care setting. We continue to support members employed in independent health and social care settings to seek appropriate recognition in their pay and working conditions in respect of the complex, expert care they deliver.
To ensure you receive information and updates that matter to you, it’s important we know where you work. Visit MyRCN to make sure your details are correct.
You are the RCN and if you want to be a part of nursing activism and lead on the issues that matter most to you, you can find out more about activism and organising, our forums and networks and how to become an RCN rep.
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