Nurses and midwives in England will not receive a cost of living salary increase this year after the government overturned the Pay Review Body’s (PRB) recommendation of a 1% pay rise.
This means that for 2014-15 only nurses and midwives at the top of their Agenda for Change (AfC) pay band will receive a one off non-consolidated 1% pay rise (paid monthly). Nurses and midwives still working their way up their pay band will move on to their next increment providing that they meet the local criteria for incremental progression. The non-consolidated payment is not pensionable.
The Scottish government has agreed to pay the 1% PRB recommendation in full.
The Welsh government has not yet made an announcement on a pay award. Last year an unfunded pay rise of 1% was awarded to NHS staff, but since the award was made NHS Wales management and the Welsh government have been seeking to cover in part the cost of the award by making detrimental changes to the terms and conditions of AfC Staff in Wales. For the past several months the health unions in Wales have been engaged in talks with health managers and Welsh government officials to decide whether the changes are acceptable to their members.
The Royal College of Nursing claims that nursing and midwifery staff are facing falling real terms pay, with earnings between 6% and 9% lower than if they had kept in line with inflation since 2009. This equates to between £1,048 and £2,824 in lost earnings. The union warns that work intensification and job related stress, made worse by reduced staffing levels are becoming common features of the NHS.
Health Secretary Jeremy Hunt argues that the recommended pay rise is unaffordable.
Nurses and other health care professionals on Agenda for Change pay rates were awarded a 1% rise for 2013/14. That followed a two year pay freeze from 2011 to 2013 for all NHS staff earning more than £21,000. Those earning up to £21,000 received an award of only £250 in both years.
Agenda for Change pay bands for NHS nurses and managers effective from 1 April 2014:
Band 1: £14,294 - £15,013
Band 2: £14,294 - £17,425
Typical job roles for this band: Clinical support worker nursing
Band 3: £16,271 - £19,268
Clinical support worker nursing (higher level), porter team leader.
Band 4: £18,838 - £22,016
Nurse associate practitioner acute, finance team leader, general office manager, admin team leader.
Band 5: £21,388 - £27,901
Nurse, midwife (entry level), theatre nurse, business administrative manager, catering manager, clinical coding officer/team leader, finance team manager, health records section manager.
Band 6: £25,783 - £34,530
Midwife, nurse specialist, nurse team leader, theatre nurse specialist, catering manager, clinical coding team manager, finance section manager, health records multi section manager, IM&T (information management and technology) analyst/technical engineer/team leader
Band 7: £30,764 - £40,558
Midwife higher level, midwife team manager, advanced nurse, nurse team manager, biomedical scientist team manager, clinical coding service manager, commissioning manager, estates manager operations/projects, finance department manager, health records department manager, healthcare scientist team manager, hotel services manager, HR team manager, IM&T section manager, improvement and development manager, information analyst advanced team manager, occupational therapist team manager, pharmacy technician team manager, physiological measurement/clinical physiology team manager, medical engineering team manager, medical physics technician section manager, procurement team manager, radiography team manager, theatre practitioner team manager
Range A: £39,239 - £47,088
Range B: £45,707 - £56,504
Range C: £54,998 - £67,805
Range D: £65,922 - £81,618
Midwife consultant, modern matron, nurse consultant, communications service manager, estates manager higher level operations/projects, head of procurement and supply, health records service manager, healthcare science service manager, HR manager principal, IM&T service manager, principal finance manager, professional manager (clinical, clinical technical service), professional manager improvement and development, programme manager, chief finance manager, head of estates/assistant head of estates, HR head of service, pharmacist team manager
Band 9: £77,850 - £98,453
NHS board directors
Pay for non-medical senior board directors in the NHS has remained frozen for the third year running, according to the NHS Boardroom Pay report for 2014 from Incomes Data Services.
NHS remuneration committees are continuing to follow the government’s lead in restraining pay levels for public sector officials.
However the average basic pay for a chief executive was slightly higher at £162,500 last year compared to the previous year (£157,500).
Steve Tatton, editor of the report, published by Income Data Services, explains: “There have been a recent wave of mergers in a lot of trusts and when this happens a board director may gain extra responsibilities and get more money and this feeds through into a higher salary. Also the odd post may have been upgraded and this pay increase for a small minority can push the average salary up slightly. However generally the pay rates of chief executives and other board directors has remained at zero.”
The average salary for medical directors is now £87,500, bringing their average total remuneration £178,750, making them the highest paid board directors.
The turnover of trust board directors has remained high mainly due to trust mergers resulting in some chief executives and board directors being made redundant and moving from one trust to another.
A first snapshot of the median earnings of CCG board directors based on Freedom of Information Requests show that last year:
Chief accountable officers earned £117,500
Finance directors £102,500
Operations directors £102,500
Nursing directors £84,713
More detailed information will be available when CCG annual accounts are published.
Read more on doctors’ pay scales.