NHS England Pay Consultation 2023 - FAQs

29 Mar 2023

Developed by the Department of Health and Social Care, these FAQs provide clarifying advice on pay, eligibility and the offer.

Following the government announcement on 16 March 2023 of a pay offer to Agenda for Change (AfC) trade unions, this guidance, developed by the Department of Health and Social Care (DHSC), provides clarifying advice on pay, eligibility, and implementation. 

This guidance applies to staff members and employing organisations who are listed at Annex 1 of the AfC handbook in England only.

Background

Talks between the NHS Staff Council and the DHSC have now concluded, and a formal offer has been made to unions for staff who are subject to AfC pay and terms and conditions.

Following endorsement in principle by the NHS Staff Council, AfC trade unions will conduct consultation processes in line with their individual constitutions. Industrial action will be suspended during the consultation period.  

If agreement is reached through the NHS Staff Council with a majority voting to accept the offer, staff would receive the following:

Financial year

Offer detail

2022/23

  • Two one off non-consolidated awards on top of the 2022/23 pay award:
    - non-consolidated award worth 2 per cent
    - one-off NHS backlog bonus worth between £1,250 and £1,600.
  • Staff can expect to receive the 2022/23 non-consolidated awards by the summer. See a full breakdown of the offer.

2023/24

  • A consolidated award for 2023/24. The award is worth a 5 per cent increase in basic pay for all pay points, with the lowest paid staff seeing their pay brought up to the top of band 2 (a 10.4 per cent pay increase)

In addition, a range of further measures and commitments aimed at improving recruitment and retention are also part of the agreement. These include a review of the Pay Review Body (PRB) process, tackling violence and aggression, and career development and support. See full details of the offer.

Non-consolidated payments

As part of the offer, staff will receive two one-off non-consolidated payments on top of their 2022/23 salary. This will be in addition to the £1400 uplift to pay points implemented earlier in the year (topped up to 4 per cent for the top of band 6 and all pay points in band 7). The two payments consist of a 2 per cent non-consolidated award, and a one-off ‘NHS backlog bonus’ to recognise the sustained pressure facing the NHS following the COVID-19 pandemic. The NHS backlog bonus would be worth an additional 4 per cent of the Agenda for Change pay bill – with additional payments ranging between £1,250 and £1,600 for each of the pay bands.

Find FAQs below on payment information, eligibility and implementation.

Payment

How will this be pro-rated for part time staff?
The same eligibility criteria will apply to part-time staff as full-time staff in their pay band (see other FAQs) however, these non-consolidated payments will be pro-rated in accordance with their contracted hours as of 31 March 2023.

Will these payments be taxed?
Yes. These payments will be subject to tax deductions and national insurance deductions at source.

Will these payments affect benefits received by staff?
Benefits requirements will vary by individual and by household, and may be affected by a non-consolidated payment. Members of staff in receipt of benefits should contact their benefit provider. More information on state benefits can be found on the GOV.UK website.

Will these payments be pensionable?
No, these payments are not pensionable and staff will not pay pension contributions on them. As these payments are not pensionable, they have no impact on any aspect of pension contributions.  

Eligibility

Who is eligible for the non-consolidated payments?
These non-consolidated payments will cover staff directly employed by NHS organisations (for example, permanent and fixed term contracts) as set out in Annex 1 of the handbook on Agenda for Change terms as of 31 March 2023

Will bank staff and those outside direct employment receive the non-consolidated payments?
These non-consolidated payments cover staff directly employed by NHS organisations (e.g. staff on permanent and fixed term contracts) as set out in Annex 1 of the handbook on Agenda for Change terms as of 31 March 2023. However, there may be local contractual arrangements that need to be considered.

What happens if a member of staff has moved employers in the 2022/23 year?
Where staff are directly employed by an NHS organisation (for example permanent and fixed term contracts) as set out in Annex 1 of the handbook on Agenda for Change terms as of 31 March 2023, they will be eligible for both the non-consolidated payments. The new/current Annex 1 employer (as at 31 March 2023) will be responsible for making the payments.

What happens if a member of staff changes employer after 31 March 2023 – who is responsible for the non-consolidated payments?
Where staff are directly employed by an NHS organisation (e.g., permanent and fixed term contracts) as set out in Annex 1 of the handbook on Agenda for Change terms as of 31 March 2023, they will be eligible for both the non-consolidated payments. The NHS organisation who employed the member of staff as of 31 March 2023 will be responsible for making the payment.

What if a member of staff has changed their pay banding in the 2022/23 year?
These non-consolidated payments will be based on the pay point as of 31 March 2023. This applies to staff directly employed by NHS organisations (e.g., permanent and fixed term contracts) as set out in Annex 1 of the handbook on Agenda for Change terms, including those who are temporarily promoted and on secondment to an NHS organisation as set out in Annex 1 of the handbook.

What if a member of staff leaves the NHS after 31 March, do they have to repay the non-consolidated payments?
No. Where staff are directly employed by an NHS organisation (e.g., permanent and fixed term contracts) as set out in Annex 1 of the handbook on Agenda for Change terms as of 31 March 2023, they will be eligible for both the non-consolidated payments. Where staff subsequently leave NHS employment, they will not be required to pay this back (either in full or as a proportion).

What payments will staff who have been on parental/maternal/adoption leave receive?
Staff on maternity/parental/adoption leave remain employed and are therefore eligible to receive the non-consolidated payments. This will be based on their pay point on the 31 March 2023.

Will staff who have been on sick leave receive the non-consolidated payments?
Employers are urged to ensure that staff on long-term sick leave, where appropriate, receive the non-consolidated payments.  This will be based on their pay point on the 31 March 2023.

Will recently retired staff receive the non-consolidated payments for their work in the 2022/23 year?
These non-consolidated payments apply to staff directly employed by an NHS organisation (e.g., permanent and fixed term contracts) as set out in Annex 1 of the handbook on Agenda for Change terms as of 31 March 2023. Any individual who has left NHS employment before that date is not eligible for these non-consolidated payments.

Will staff on a career break receive the non-consolidated payments?
This will be for local employers to determine on a case-by-case basis.

Will the non-consolidated payments include high cost area supplements (HCAS) payments?
These non-consolidated payments will be based on basic pay by pay point, as opposed to individual salaries. Therefore, there will be no adjustment to these payments in respect of HCAS.

Will the non-consolidated payments affect recruitment and retention payments (RRPs)?
These non-consolidated payments will be based on basic pay by pay point, as opposed to individual salaries. Therefore, there will be no adjustment to these payments in respect of RRPs.

Implementation

When will staff receive these payments?
If the offer is agreed through the NHS Staff Council, we will start to work with the electronic staff record (ESR) to prepare for the awards immediately. As with the implementation of all awards, this process takes time, but staff can expect to receive both of the 2022/23 non-consolidated payments by the summer. Should the offer be agreed, further details on timelines for payment will be provided. 

Will both non-consolidated payments be implemented together?
The implementation of both will happen together.

Consolidated payment

Staff will also receive a consolidated uplift for 2023/24 worth 5 per cent. In addition, the lowest paid staff will see their pay brought up to the top of band 2, resulting in a pay increase of 10.4 per cent.

When will staff receive this payment?
If the offer is agreed through the NHS Staff Council, we will start to work with the electronic staff record (ESR) to prepare for the awards immediately. As with the implementation of all awards, this process takes time, but staff can expect to receive the 2023/24 consolidated award by the summer, backdated to 1 April 2023. Should the offer be agreed, further details on timelines for payment will be provided. 

What will different bands receive?
The award is worth a 5 per cent increase in basic pay for all pay points. The lowest paid staff (band 1 and entry point of band 2) will also see their pay brought up to the top of band 2 (a total of a 10.4 per cent pay increase)

How does this payment interact with enhancements?
The consolidated increase from 1 April 2023 will be reckonable against all enhancements provided for within the AfC terms and conditions, such as unsocial hours premia.

Is this uplift pensionable?
Yes. The consolidated uplift is pensionable and will form part of an individual’s pensionable earning.

What is being done to address the increased National Living Wage (NLW) set to be applied from 1 April 2023?
The government has announced an interim uplift to address the NLW increase as of 1 April 2023. This will affect staff in Band 1 and the entry point of band 2 and should be seen as an advance on the full 2023/24 AfC pay award. If agreement on the offer is reached, these pay points will be increased by any amount not already received through the early uplift, and this outstanding amount will be backdated to 1 April 2023.

Information on the interim uplifts can be found on this web page

Are high cost areas supplements (HCAS) being updated?
All HCAS rates will be uplifted by 5 per cent effective from 1 April 2023.

Information above sourced from NHS Employers FAQs.

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