Scottish NHS pay rise agreed

Agenda for Change pay offer accepted by trade unions

Almost 170,000 nurses and healthcare workers in Scotland will receive a 5.5% salary increase this year, ensuring they have the best reward package in the UK.

Unions representing NHS Agenda for Change staff – which includes nurses, midwives, paramedics, allied health professionals, porters and others – unanimously agreed to an investment of more than £448 million for improved pay conditions. 

The pay rise, backdated to 1 April 2024, will come into effect from next month.

Health Secretary Neil Gray said: “I am pleased that trade unions have unanimously agreed to accept this pay offer, which ensures that nurses and healthcare staff in Scotland, who are part of Agenda for Change, will have the best reward package in the UK.

“I want to express my thanks again to Scotland’s hardworking healthcare staff for the care they provide to patients, day in, day out.  They are the very backbone of the NHS and we are committed to ensuring they feel supported and valued.”

Reduced working week for healthcare staff

Implementation of Agenda for Change recommendations

NHS Agenda for Change staff – including nurses, midwives, paramedics, allied health professionals, porters and others – will see a reduction of 30 minutes in their working week from 1st April this year.

The move follows a recommendation from a working group set up to implement a previous commitment to cut the number of working hours as part of the 2023/24 pay deal. It is one of a number of measures to modernise the NHS Scotland Agenda for Change system and has been agreed with trade unions.

If, due to service pressures, safe staffing or wellbeing issues, it is not possible for a staff member to receive their 30 minute reduction they will be recompensed accordingly, until such times as the reduction can be accommodated.

Other measures agreed include:

  • a consistent approach to Protected Learning Time across all NHS Scotland Boards, and
  • a defined process for undertaking a review of Band 5 nursing roles with any Band 5 nurse able to self-apply for a review of their role if they believe they meet the criteria. 

The changes will support NHS Scotland workforce recruitment, sustainability and retention.

Health Secretary Neil Gray said: “Our Agenda for Change system recognises the value, dedication and hard work of our staff and makes NHS Scotland an employer of choice. 

“We expect NHS Boards to work in partnership with trade unions and staff to reduce the working week. This presents an opportunity to modernise how staff are rostered and work, ensuring that NHS Scotland is a leader in flexible and family friendly working practices.

“I am grateful to both Trade Union and Employer representatives for working in partnership with us to develop these reforms to help modernise our service.”