Record pay offer for NHS staff – but it’s not enough, say nurses

All NHS workers offered £2,205 pay rise but nurses to go ahead with strike ballot

NHS staff in Scotland are set to receive a record pay rise of £2,205 – an average 7% pay uplift – to help tackle the cost of living crisis and retain staff during the tougher winter months. 

This increased offer was made after constructive negotiations between the Scottish Government and NHS Unions, which lasted into the early hours of Friday morning (21 October).

The offer would mean the lowest paid seeing a rise of more than 11%, with qualified nursing staff receiving up to 8.45%, helping the lowest paid staff through the cost of living crisis. 

If agreed, the pay uplift, which amounts to almost half a billion pounds (£480m), will benefit more than 160,000 employees including nurses, paramedics, allied health professionals and healthcare support staff.  

This is the largest pay offer given to NHS Scotland Agenda for Change staff since devolution and will mean they remain the best paid in the UK. If accepted, the offer will be backdated to 1 April 2022, and could be added to pay cheques in time for Christmas.

Health Secretary Humza Yousaf said: “I am grateful to trade union colleagues and NHS employers for constructive discussions on pay.

“This has been another exceptionally challenging year for our health service and we have a difficult winter ahead, but I am pleased that we are able to recognise the service and dedication of our healthcare and support staff with this pay offer.

“We owe NHS staff a debt of gratitude for leading us through the greatest public health crisis in recent history.

“This improved pay offer – which is the largest of its kind since devolution – reflects their hard work and will go a long way to help them through the cost of living crisis. We are rightly focussing the biggest increases for those who are the lowest paid, as we know the cost crisis is impacting them disproportionately.”

However the Scottish government’s latest pay offer remains a real terms pay cut for the majority of nursing staff, according to the Royal College of Nursing.

The offer comes after discussions with the health trade unions, Cabinet Secretary, Deputy First Minister, Scottish government officials and employers.

Scottish government failed to take the opportunity to recognise the clinical skill, expertise and leadership of registered nurses.

When compared to the previous offer from May 2022, this offer sees a lower percentage increase for those higher up the Agenda for Change bandings. The RCN has called for an across the board pay increase that is 5% above inflation.

Julie Lamberth said: “Nurse staffing levels are dangerously low. We need fair pay to attract more people into nursing and to keep the skilled nurses we already have. 

“We want to be able to provide the best possible care for our patients but too often, the lack of staff and demand on services is standing in our way. Too many of us are making the decision to walk away from the profession. The Scottish Government has the power to stop this. The people of Scotland deserve better, so do we. Please post you ballot back today.”

RCN Scotland Director Colin Poolman said: “Yet again the Scottish Government has failed to listen to our members concerns for the safety of their patients. They have failed to recognise the safety critical role of nursing staff and their essential contribution to our NHS and our nation’s health.

“Under this proposal, registered nurses continue to face a significant real terms pay cut. This is even more stark with the news that inflation reached a 40 year high. Many are making difficult decisions about how to heat their homes, feed their families and travel to work while carrying the burden of being unable to do the best for their patients due to severe staff shortages.

Our ballot for strike action continues. Today’s offer will make our members more determined to have their voice heard. I would urge members to vote in favour of strike and to post back their ballot papers now.”

Tackling the energy cost crisis

The First Minister has convened a second summit with energy companies and advice organisations.

Further actions to support consumers and businesses through the winter have been agreed at yesterday’s virtual summit between energy companies and advice organisations and Ministers.

The energy cost crisis summit discussed this week’s reversals to UK Government measures set out since the previous summit, and agreed longer-term certainty is urgently needed ahead of the anticipated energy price cap increase, currently due in April.

First Minister Nicola Sturgeon said: “The curtailing of the Energy Price Guarantee by the Chancellor of the Exchequer earlier this week has eradicated what meagre certainty people and businesses had over their bills and finances in the short to medium-term.

“Even the current cap of £2,500 until April – while better than a rise to £3,500 – is still a very significant increase for households who are already struggling to pay their bills and heat their homes. Without further mitigation the increase to £2,500 under the Energy Price Guarantee will see an additional 150,000 households in extreme fuel poverty.

“The deficiencies in the UK Government’s package mean we are still in an emergency situation. The economic outlook has been made far worse by other aspects of the mini-budget – most of which have now had to be reversed entirely.

“The Scottish Government is working hard within its limited powers and finite budget to support people, business, public services and the economy. Part of that work will involve ongoing engagement with energy companies and advice organisations throughout the winter to see how, individually and collectively, we can alleviate the huge challenges people are facing as well as signposting existing schemes and support that is available.

“It is clear however that more substantial reform of the energy market is needed to address the issue in the long term, and the power to do so lies with the UK Government.”

And therein lies the problem – Ed.

Scottish Energy Retail Summit: update on collaborative action – gov.scot (www.gov.scot)

Council strikes back on?

UNISON, and sister trade unions Unite and GMB, are threatening pull out local government school staff and refuse workers on strike again.

Strike action was suspended after UNISON members voted for an offer which was made to them by COSLA on 2nd September 2022.

Trade union strikes remain suspended but mandates remain live meaning UNISON can legally call their local government members back out on strike, again.

COSLA now claim that the elements of the original deal – an extra days leave and the payment of SSSC registration fees for those working in social work, social care and early years – were only for one year not in perpetuity.

UNISON have now written to COSLA to say: “It is frankly outrageous that the draft pay circular sent to us on 7th October sought to time limit elements of the offer that had no time limitation on them in the original offer letter or in the discussions we had prior to it.

“That this remains unresolved should be a source of deep embarrassment. As has previously been advised our strike mandates remain live and we are all under increasing pressure from members, who are rapidly losing faith in their employer, to lift the strike suspensions if a resolution is not achieved quickly.”

Council staff are still waiting for their increased pay uplifts to be included in their pay packets.

Johanna Baxter, UNISON Scotland head of local government said: “This is appalling behaviour – either the employer did not even understand the offer they themselves were making – or they did and are now trying to renegue on it before its even been implemented. Either way it will be our members that suffer if they are allowed to get away with it.

“We have made clear to the employer and the Scottish Government that our strike mandates remain live and all three trade unions are under increasing pressure from members, who are rapidly losing faith in their employer, to lift the strike suspensions if a resolution and call members out if a resolution is not achieved quickly.

“Our members will rightly be questioning the value of COSLA if they cannot be trusted to draft an offer that they understand or uphold one that they do understand.

“It should be a source of deep embarrassment to COSLA that more than six months since the pay implementation date and in the middle of the worst cost of living crises our country has seen, waiting on their pay rise”

Boyack calls for urgent support for Scotland’s arts and culture sector

Following the news about the closure of the Modern Two art gallery in Edinburgh until next year due to rising energy bills, Sarah Boyack MSP, Scottish Labour’s Spokesperson for Culture and MSP for Lothian, highlighted the wider issues the sector is facing and called on the Scottish Government to deliver urgent action.

The Scottish Labour MSP commented: “Our arts and culture organisations are on the brink of collapse – many are fighting for survival, they are struggling to cope with the perfect storm of reduced incomes, skyrocketing energy bills and inflation.

“Earlier this month, we found out that Falkirk Town Hall, the Filmhouse in Edinburgh, the Belmont in Aberdeen and the Edinburgh International Film Festival have all gone under.

“The Scottish Government reassured us that Scotland’s National Collections will remain open to the public free of charge. However, the reality on the ground tells us a very different story.

“Instead of rhetoric and empty promises, we need the Government to deliver the urgent action the arts and culture sector needs at this moment of crisis.”

In his written response to Sarah Boyack MSP, on 30th September, Culture Secretary Neil Gray said: “the National Collections are an important part of Scotland’s culture.

!”As part of setting and reviewing annual budgets for grant in aid, the Scottish Government maintains close contact with National Museums Scotland and the National Galleries of Scotland about their cost and revenue, in order to continue to ensure that their permanent collections remain open to the public free of charge.”

£65 million support for drugs services

Frontline and third sector organisations invited to apply

Drug support services are benefitting from a £65 million boost to drive down the number of drug deaths each year.

Life-saving organisations which help people who use drugs turn their lives around and offer support to their families are invited to apply for this Government funding which will help people on their road to recovery.

The cash will go to initiatives like Aberdeen Alcohol and Drugs Action which was given almost half a million pounds earlier this year to deliver a “Sharp Response Service” to people in their homes, ensuring they were given immediate access to advice and support to help them get back on track.

The money, from the additional £250 million national mission funding, is being channelled through the Local Support Fund which is open all year round and two further funding pots, which are reopening today (20 October) – the Improvement Fund for organisations delivering residential rehabilitation and associated services and the Children and Families Fund which gives financial help to those working with the loved ones of those affected.

All funds are administered through the CORRA Foundation, a charity which aims to make grants available to projects which make a difference to people and communities.

Drugs Policy Minister Angela Constance said: “The number of lives lost to drugs is still too high in Scotland and these funds are vital for those services working on the frontline to help those affected and their families.

“These organisations save lives and we want to support them so they can extend as far into their communities as possible and offer people the support they need when and where they need it.

“£65 million of the additional £250 million set aside for the national mission on drug deaths over the course of this Parliament will go directly to these funds and we are determined to make every penny count.”

Aberdeen Alcohol and Drugs Action Service Manager Simon Pringle said: “The Drug Improvement Fund has allowed ADA to offer a more flexible service to clients who find accessing mainstream or statutory services – including treatment – difficult.

“Since receiving the funding we have offered help to over 150 individuals helping them access support, engage with NHS Medication Assisted Treatment (MAT), re-engage with services and receive sterile injecting equipment.

“We have been able to target those most at risk and see them quickly – usually the same day – therefore reducing the risks of overdose or other harms. Without the fund we wouldn’t have been able to achieve this.”

CORRA Foundation – drug services funds

Record number of Scotland’s A&E patients wait over eight hours

Responding to the latest figures showing the Royal Infirmary of Edinburgh sees only 40.6% of A&E patients within 4 hours, Foysol Choudhury MSP said: “The figures for patients being seen at A&E within 4 hours in Edinburgh remain alarmingly low, even before the anticipated winter crisis hits.

“The Cabinet Secretary for Health has said that ‘recovery from Covid will not happen overnight’, but we are yet to see any evidence of recovery at all. The 4-hour figures for NHS Lothian last averaged above 90% in March 2021, while the figures for Edinburgh Royal last averaged above 90% in October 2020. The trend has been downwards since then.

“Hard-working NHS staff are doing their best for patients in very difficult circumstances, but they are being let down by long-running structural failures which remain unresolved by this SNP-Green government.

“The Scottish Government needs to take urgent action now to arrest two years of decline in our health service, or risk putting patient safety in jeopardy over winter.”

The Scottish Conservatives said: “This week, A&E waiting time figures showed 1506 patients waiting more than half a day in emergency departments.

“Hardworking NHS staff are being pushed beyond their limits and patients are suffering needlessly as a result of SNP inaction.”

Mr Yousaf said: “A&E departments are working under significant pressure and, in common with other healthcare systems across the UK and globally, the pandemic continues to impact performance.

“Recovery from Covid will not happen overnight, which is why we are continuing to work with boards on a number of measures to reduce pressure this winter.”

Comparison Table: NHS Boards and Scotland

Date ↓ NHS Board Attendance % within 4 hours
09-Oct-2022 NHS Ayrshire & Arran 1,818 67.2
09-Oct-2022 NHS Borders 577 60.5
09-Oct-2022 NHS Dumfries & Galloway 956 78.6
09-Oct-2022 NHS Fife 1,328 63
09-Oct-2022 NHS Forth Valley 1,145 39.7
09-Oct-2022 NHS Grampian 1,923 62.5
09-Oct-2022 NHS Greater Glasgow & Clyde 6,471 63.6
09-Oct-2022 NHS Highland 1,257 78.4
09-Oct-2022 NHS Lanarkshire 3,793 54.3
09-Oct-2022 NHS Lothian 4,488 61.7
09-Oct-2022 NHS Orkney 95 93.7
09-Oct-2022 NHS Shetland 187 92.5
09-Oct-2022 NHS Tayside 1,546 90.4
09-Oct-2022 NHS Western Isles 100 96
09-Oct-2022 NHSScotland 25,684 64.2

A new approach to work

Paper outlines plans for fairer labour market

A new single rate for the national minimum wage to reflect the increased cost of living, and more effective employment law to protect workers’ rights underpin plans to build a fairer labour market in an independent Scotland, according to Deputy First Minister John Swinney.

Following publication of the paper Building a New Scotland: A stronger economy with independence, Mr Swinney said the powers of independence would allow the Scottish Government to build a fairer, more equal future for all workers. This includes new measures to improve access to flexible working and better industrial relations.

Deputy First Minister John Swinney said: “Improving job security, wages and work-life balance are essential to delivering a more socially just Scotland. The UK labour market model has generated high income inequality while failing to drive productivity growth.

“Compared to independent European countries similar to Scotland, the UK has a higher prevalence of low pay, a bigger gender pay gap, longer working hours and significantly lower statutory sick pay.

“The Scottish Government is committed to Fair Work, but we could go much further to strengthen that agenda in an independent Scotland, developing a legal framework that more effectively addresses the workplace challenges of the 21st century. It would give us an opportunity to redesign the system to better meet the needs of Scotland’s workers and employers.”

Specific measures proposed in the paper include:

  • establishing a Scottish Fair Pay Commission to lead a new approach to setting a national minimum wage, working with employers, trade unions and government
  • improving pay and conditions with a single rate minimum wage for all age groups and better access to flexible work to help parents and carers
  • repealing the UK Trade Union Act 2016 as part of developing an approach to industrial relations which suits both workers and employers
  • introducing a law to help workers organise co-operative buyouts or rescues when a business is up for sale or under threat
  • legislating to support workers in precarious employment, and banning the practice of staff being made redundant and re-hired on reduced wages and conditions
  • increasing transparency in pay reporting and data to address gender, ethnicity and disability pay gaps and building on Scottish Government work to break down barriers to employment

The paper outlines how it would be easier for an independent Scotland to deal with labour market shocks.

In responding to the global financial crisis and pandemic, other countries were able to quickly draw on existing institutions and initiatives. This could include a permanent short-time working scheme, modelled on the German Kurzarbeit programme which provides compensation for private sector workers whose hours are reduced because of economic difficulty. A scheme like this in Scotland could help retain skills, reduce long-term unemployment and the associated costs and allow for more rapid economic recovery.

Job Security Councils, modelled on a Swedish initiative, could provide support to workers who have lost – or are at risk of losing – their jobs. These non-profit foundations led by social partners, employer representative bodies and trades unions, would help workers find new employment by providing a range of advice and high-quality retraining.

Building a New Scotland: A stronger economy with independence is the third paper in the Building a New Scotland series which will form a prospectus to enable people to make an informed choice about Scotland’s future before any referendum on independence takes place.

First Minister: Independence is “essential” to Scotland’s prosperity

Blueprint for fairer, stronger, greener Scotland published

Independence is essential to build a fairer, stronger, greener Scotland, First Minister Nicola Sturgeon said as she launched the Scottish Government’s independence economy prospectus.

The First Minister said the paper, Building a New Scotland: A stronger economy with independence, sets out plans to make the economy work for everyone and forge a different path to the Brexit based UK economic model that, as outlined in the first paper, is poorer and more unequal than comparable independent countries.

It includes:

  • re-joining the European Union (EU) to benefit from, and contribute to, the vast European Single Market, helping to forge a different path to the UK system
  • a redesigned energy market that aims to provide secure and reliable low cost energy
  • retaining free movement of people, without a passport, across the UK and Ireland, with trade borders implemented smoothly
  • using the pound sterling, until the time is right to move to a Scottish pound
  • up to £20 billion in major infrastructure investment through the Building a New Scotland Fund, including investment in more energy-efficient homes, greener transport, better digital and mobile connectivity, and more affordable housing
  • using full powers over employment law to help improve pay and working conditions for people across Scotland, including introducing a minimum wage with a single rate for all age groups and stronger access to flexible working
  • a plan for better industrial relations through a social partnership approach involving business and unions
  • a migration policy tailored to Scotland’s needs and designed to boost the  working population

The paper outlines the new institutions that would be set up to manage the Scottish economy, including an independent Scottish Central Bank and a new Debt Management Office. Credible and responsible fiscal rules on borrowing and other key measures will be independently assessed by an enhanced Scottish Fiscal Commission.

Speaking as the paper was published, First Minister Nicola Sturgeon said: “The UK economy is fundamentally on the wrong path and there is no real alternative on offer within the Westminster system.

“The establishment consensus on Brexit – despite the harm it is causing – illustrates that.

“For Scotland, not being independent means we are being dragged down the wrong path too: one people in Scotland did not vote for.

“To build a more stable, sustainable economy – with fairness and human wellbeing at heart – independence is therefore essential.

“That is the fundamental point we make in this paper. Independence is not an abstract argument separate from people’s daily lives.

“It has at its heart the ambition – and crucially, it equips us with the essential tools – to build a fairer, wealthier, greener, happier country.”

Building a New Scotland: A stronger economy with independence

Building a New Scotland series  

Sturgeon: Ambitious plans for a more dynamic and fairer economy

New economic paper for an independent Scotland to be published

Proposals to build a dynamic and socially just economy will be at the centre of government plans for a newly independent Scotland, according to First Minister Nicola Sturgeon.

Speaking ahead of the launch of a new prospectus paper detailing plans for the economy of an independent Scotland, the First Minister said independence would help Scotland become a fairer, wealthier and greener country.

Building on the evidence published in the first of the Building a New Scotland series, Independence in the modern world, the latest paper will set out how the powers of independence, combined with Scotland’s abundant economic strengths and resources, can deliver a stronger economy and fairer society.   

The paper is also expected to propose a Building a New Scotland Fund. With infrastructure investment of up to £20 billion from remaining oil revenues and responsible borrowing, the new Fund will accelerate the transition to net zero, build resilient communities, and help kick-start the sustainable economic growth so important for the newly independent nation.

The paper will also address the issues of currency, fiscal sustainability, and trade.

First Minister Nicola Sturgeon said: “Scotland has an abundance of skilled people, innovative businesses, and natural resources. We have everything it takes to be just as successful as comparable independent European countries. Our analysis from the first paper in the Building a New Scotland series shows that a dynamic economy and social justice go hand in hand. Each makes the other stronger. 

“Scotland’s economy is one of the best performing in the UK – however the UK economy, particularly post-Brexit, is now lagging behind many EU and international comparators. The UK economic model is demonstrably failing and increasingly holding Scotland back.

“Independence is now essential to build an economy that works for everyone. The paper we are publishing today will help people make a clear, informed choice about independence and how we can forge a path towards becoming a fairer, greener, wealthier country.”

The First Minister will hold a press conference today at 12pm.

Watch live here @scotgov from 12pm.

Building a New Scotland series

Unsurprisingly, the Scottish Conservatives are less than impressed:

The European Movement in Scotland (EMiS), Scotland’s premier pro-EU body, strongly endorsed the Scottish Government’s decision to make rejoining the European Union a centrepiece of its economic strategy if Scotland were to become independent.

EMiS, a cross-party body that is neutral on the independence question, points out that Brexit has demonstrably impoverished the UK and destroys the sustainable, inclusive growth Scotland wants and needs. 

Mark Lazarowicz, EMiS chair, said: “Scotland’s economic prospects will be immeasurably strengthened inside the European Union, the world’s largest single market.

“We have witnessed the damaging economic impact of Brexit, with the UK set to be 4 per cent poorer than if it had stayed in the EU, according to the independent Office for Budget Responsibility. This is set to knock £80bn off the UK’s gross domestic product and about £40bn off exchequer receipts.

“There can be no lasting growth perspective outside the world’s biggest trading bloc. Rejoining the EU is the key to ending poverty and inequality and promoting green growth and jobs,for both Scotland and the whole UK.”

The Labour Party is opposed to rejoining the European Union.

Accelerating action to tackle nature and climate crises

More funding to support biodiversity projects

Projects that restore Scotland’s rainforest and protect some of the country’s most threatened wildlife are among those set to benefit from crucial funding.

A new package of Scottish Government support totalling over £2.9 million will focus on conservation, research and connecting people with nature – aiming to accelerate the response to the biodiversity and climate crises.

A project to restore Scotland’s rainforest will receive over £1.3 million helping to control invasive rhododendron and manage the impacts of wild deer to promote the recovery of the fragile forest ecosystem.

Species on the Edge’, a five-year partnership project, will receive £500,000, helping to support 37 of Scotland’s most vulnerable species – such as the great yellow bumblebee and the Scottish primrose.

A further £200,000 will go to the Green Action Trust to help expand nature networks – supporting their work with local communities across Scotland to create and restore woodlands and wetlands.

Biodiversity Minister Lorna Slater said: “The interlinked crises of nature loss and climate change need urgent action across government and society. A healthy natural environment with restored and thriving biodiversity is also crucial to both our wellbeing and our economy. 

“That is why we are continuing to support and build on a wide programme of enhancing nature protections. This new package of funding adds to our £65 million Nature Restoration Fund, which supports projects across Scotland – on land and at sea – that address the twin crises of biodiversity loss and climate change.

“We are at a critical moment as we approach the UN CoP15 biodiversity summit at the end of this year. We will soon publish a new Biodiversity Strategy for Scotland, which will set out what our natural environment needs to look like by 2045 in order to reverse biodiversity decline and protect our environment for the future.

“The Strategy will set out in detail how we achieve our goals and a Natural Environment Bill which will pave the way for statutory nature restoration targets.”

Alistair Whyte on behalf of Woodland Trust Scotland and Plantlife Scotland said: “We welcome the allocation of funding to begin the crucial work of halting the loss of Scotland’s rainforest.

“Restoring the rainforest will need a long-term, strategic approach to funding and action on the ground. In financially challenging times, this announcement is an encouraging step towards fulfilling that larger commitment to restore and expand this precious ecosystem. We owe it to the world to restore Scotland’s rainforest.”

Director of RSPB Scotland Anne McCall said: “Given the scale and urgency of the nature and climate crisis it is great to see this funding announcement from Scottish Government.

“Support for work that is focused on species and the restoration of Scotland’s rainforest highlights the importance of addressing nature loss across Scotland; there is so much more to be done, by all sectors, if we are to realise a future where nature and people can thrive.”

Details of all the projects to receive additional funding are contained in the table below:

ProjectWhat it will doAllocation
Species on the Edge5 year partnership programme with NatureScot, the National Lottery Heritage Fund and nature conservation charities improving the fortunes of 37 priority species.£50,000 allocation this year.  A total Scottish Government contribution of £500,000 to £6.7 million total cost.
Scottish Biodiversity Information Forum – Better Biodiversity Data ProjectPartnership project co-funded with NatureScot to develop first steps in a strategic approach to the collection, collation and sharing of biological data across Scotland, supporting the transition to net zero and helping halt and reverse biodiversity loss. £31,000 this year – total of £290,000 over 3 years.
Scotland’s rainforest RestorationSupport for a programme of work initially enabling Forestry and Land Scotland to control invasive non-native species on 60 ha of priority rainforest sites, moving on to new priority sites and developing opportunities for collaboration with the Alliance for Scotland’s Rainforest and development of deer management plans for key sites.£555,000 capital and £750,000 resource.
Nature NetworksTo support the Green Action Trust’s work on local nature networks. Green Action Trust will work with local communities to create and restore woodlands and wetlands.£200,000 top up capital to their core grant.
Nature Restoration FundTop up funding to the Transforming Nature multiyear project window, and additional capital to the National Parks to support their nature plans.£453,000
The Conservation VolunteersSupport for the delivery of environmental volunteering, getting people engaged with nature, particularly in urban and socially deprived areas, each year TCV organise over 17,000 workdays planting over 15,000 trees, 26,000 wildflower bulbs and repairing 21km of paths.£170,000