NHS employers need to pay staff fairly or face strike action

NHS managers must ensure health workers are on the correct salary bands for the jobs they do and avoid the need for further strike action this year, says UNISON today (Friday).

Since 2021, the union has taken an employer-by-employer approach to help healthcare assistants across the UK win wage rises, including around £80m in back pay, to make up for years of being paid significantly less than they should have been.

UNISON’s Fair Pay for Patient Care campaign has prompted salary boosts for nearly 36,000 healthcare assistants and other clinical support workers, because their salaries have increasingly failed to reflect their more complex job responsibilities.

According to NHS guidance, healthcare assistants on the lowest agenda for change salaries (band 2) should only be providing personal care like bathing and feeding patients.

But support staff have been routinely undertaking more involved clinical tasks, says UNISON, including taking and monitoring blood, and performing electrocardiogram tests. This should have pushed their roles into a higher (band 3) bracket, which is worth almost £2,000 a year more.

Some NHS employers have acted to end this unfair wage discrepancy, says UNISON. They’ve lifted support staff on to the next band up and awarded back pay as compensation for when they’ve been doing more complicated tasks but without the appropriate salary.

Elsewhere, it’s taken weeks of industrial action to secure the correct wages and back pay for support staff, says UNISON.

More than 40 deals have now been secured by the Fair Pay for Patient Care campaign. Successes include Wirral University Teaching Hospital NHS Foundation Trust, South London and Maudsley NHS Foundation Trust, Cambridge Community Services NHS Trust and Somerset NHS Foundation Trust.