Pay offer to Junior Doctors accepted

Agreement will see largest Junior Doctor pay investment for 20 years

A record 12.4% pay increase for junior doctors and dentists in training for 2023–24 has been accepted British Medical Association (BMA) Scotland members.

Together with the pay raise of 4.5% awarded in 2022–23, this amounts to a total increase of 17.5% over two years.

The deal also includes a commitment to future years pay, contract and pay bargaining modernisation and it brings to an end the threat of industrial action.

Health Secretary Michael Matheson said: “I am very pleased that BMA members have overwhelmingly voted to accept this record pay deal for Junior Doctors.  This is the single biggest investment in Junior Doctor pay since devolution, and maintains our commitment to make Scotland the best place in the UK for Junior Doctors to work and train. 

“Due to the meaningful engagement we have had with trade unions, we have avoided any industrial action in Scotland – the only part of the UK to avoid NHS strikes.

“We will now implement this pay uplift, and will work with BMA to take forward the other aspects of the deal including contract and pay bargaining reform.”

This pay deal represents a £61.3 million investment in Junior Doctor pay – the largest in the last 20 years and the best offer in the UK – and means a doctor at the beginning of their career would receive a salary increase of £3,429 in 2023–24.

For those at the end of their training the rise would be £7,111 over the same period. 

Agenda for Change pay offer accepted by health trade unions

Healthcare staff will begin to benefit from largest overall investment in Agenda for Change pay in a single year from next month, following unions’ unanimous agreement.

160,000 NHS staff – including nurses, midwives, paramedics, allied health professionals, porters and others – will receive an average 6.5% increase in pay in 2023-24.

This £568 million deal includes a commitment to deliver the most progressive package of terms and conditions reform in decades and support for workforce recruitment, sustainability and retention.

Health Secretary Humza Yousaf said: “I am very pleased that the Agenda for Change trade unions have unanimously agreed to accept this pay offer, meaning staff will start seeing the benefits of this deal in their April pay packets.

“This £568 million deal that will ensure NHS Agenda for Change staff remain, by far and away, the best paid anywhere in the UK. We are also committed to delivering the most progressive package of terms and conditions reform in decades. 

“Our healthcare staff have shown how dedicated and hardworking they are time and again and I cannot thank them enough for their commitment, particularly over the last few challenging years. Our staff are the very backbone of the NHS and we are committed to supporting them, particularly during a cost of living crisis.

“I am grateful for the continued efforts to keep discussions going to reach this deal and that this has been able to be processed in time to get the money to staff so quickly.

A total of £568 million has been committed for Agenda for Change pay in 2023-24. This equates to an average uplift of at least 6.5% for all staff at Band 8a and below.

All staff will also receive a one-off pro rata payment of between £387 and £939 depending on banding.

The offer also reaffirms previous commitments to work to reduce the working week, protect learning time and review band 5 job nursing profiles.

Examples of increases over the two years (2022-23 and 2023-24):

  • experienced porters (band 2) receive more than £3,750 extra (19.1%)
  • experienced healthcare support workers (band 4) receive more than £4,000 extra.
  • experienced AHPs (band 5) receive more than £4,700 extra (14.4%)
  • experienced paramedics (band 6) receive more than £5,360 extra (13.2%)
  • experienced advance nurse practitioners (band 7) receive more than £5,900 extra (12.4%)

The revised pay scales are set out below:

Band  2021-222022-232023-24 Offer  2023-24 £ Uplift2023-24 % UpliftConsolidated increase over two years  One-off Payment 
11£19,487£21,692£23,240 £1,5487.1%£3,75319.3% £387 
21£19,609£21,814£23,362 £1,5487.1%£3,75319.1% £387 
 2£21,615£23,820£25,368 £1,5486.5%£3,75317.4% £387 
31£21,709£23,914£25,468 £1,5546.5%£3,75917.3% £389 
 2£23,603£25,808£27,486 £1,6786.5%£3,88316.5% £420 
41£23,709£25,914£27,598 £1,6846.5%£3,88916.4% £421 
 2£25,982£28,187£30,019 £1,8326.5%£4,03715.5% £458 
51£26,104£28,384£30,229 £1,8456.5%£4,12515.8% £461 
 2£28,049£30,329£32,300 £1,9716.5%£4,25115.2% £493 
 3£32,915£35,365£37,664 £2,2996.5%£4,74914.4% £575 
61£33,072£35,522£37,831 £2,3096.5%£4,75914.4% £577 
 2£34,637£37,087£39,498 £2,4116.5%£4,86114.0% £603 
 3£40,739£43,286£46,100 £2,8146.5%£5,36113.2% £703 
71£40,872£43,422£46,244 £2,8226.5%£5,37213.1% £706 
 2£42,530£45,080£48,010 £2,9306.5%£5,48012.9% £733 
 3£47,846£50,506£53,789 £3,2836.5%£5,94312.4% £821 
8a1£50,965£53,513£56,992 £3,4796.5%£6,02711.8% £870 
 2£55,016£57,767£61,522 £3,7556.5%£6,50611.8% £939 
8b1£61,325£63,530£67,285 £3,7555.9%£5,9609.7% £939 
 2£66,018£68,223£71,978 £3,7555.5%£5,9609.0% £939 
8c1£73,506£75,711£79,466 £3,7555.0%£5,9608.1% £939 
 2£79,221£81,426£85,181 £3,7554.6%£5,9607.5% £939 
8d1£88,385£90,590£94,345 £3,7554.1%£5,9606.7% £939 
 2£92,424£94,629£98,384 £3,7554.0%£5,9606.4% £939 
91£105,635£107,840£111,595 £3,7553.5%£5,9605.6% £939 
 2£110,468£112,673£116,428 £3,7553.3%£5,9605.4% £939