Campaigns
NHS Pay (England)
This page covers the latest on NHS pay negotiations in England, what MiP is doing to win a fair deal for managers, and how you can get involved.
Why this campaign matters
Year after year, health and care staff in England are expected to put up with below-inflation pay awards. MiP is pushing for better headline pay and urgent reforms to a pay structure that is stifling career progression and frustrating staff at every level.
After 18 months of promises, formal negotiations on the NHS pay structure are finally underway. This is a rare opportunity to fix problems that have built up over decades – and the outcome will shape managers’ pay and careers for years to come.
This page is updated regularly with the latest articles and information on NHS pay. Check back to see how the campaign is progressing, and how you can get involved.
Join the campaign and get your voice heard.
Campaign goals
Better headline pay
NHS staff received a 3.3% pay award for 2026/27. We say 3.3% is not enough. It has already been overtaken by increases to the cost of living and does nothing to address longstanding issues with the NHS pay structure.
An improved pay structure
Win reforms to the NHS pay scale so that staff are properly rewarded as they progress through their careers, ending pay bottlenecks and making sure staff are graded fairly for the work they actually do.
Managers’ voices in the room
The NHS needs managers so it can operate smoothly and safely. Managers must have a voice in the negotiations, so that the NHS can recruit and retain the managers needed to improve services for patients and for staff.
Campaign resources
Tell employers and government how the flaws in the pay structure have affected you and why reforms are so urgently needed with our partner union UNISON’s survey.
Use NHS campaign graphics to raise awareness and build support for this campaign
Latest News
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NHS reforms at risk as management capacity is cut, MPs told
MiP Chief Executive Jon Restell warns MPs that NHS reforms are at risk if the management capacity needed to make them happen is cut.
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MiP responds to Health Secretary James Murray speech at NHS ConfedExpo
MiP says Health Secretary James Murray was right to recognise the innovation and creativity in the NHS, but the very people who drive it are the ones who are losing their jobs.
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NHS job cuts a risk to cybersecurity as threat of AI-powered attacks rises “dramatically”
The threat of potentially catastrophic cyber attacks on the NHS has increased “really dramatically” in recent weeks and is still “accelerating”, NHS England chief Sir Jim Mackey has said. His warning came just weeks after NHSE’s board was warned by its own digital experts that NHS job cuts posed an “unmitigated” risk to cybersecurity.
Actions for members
Update your membership details
Ensure your details are up-to-date to receive information on the latest developments via email. You can update your details by logging into this website.
Consider becoming a workplace rep
In times like this our workplace reps are needed more than ever. Your union and your colleagues will be relying on you throughout this. You can find out more about the role by visiting the link below.
Tell colleagues to join now
A union is only as strong as its collective strength. Every member is another voice to challenge these cuts. But they need to join now prior to formal processes starting to access support.
Join MiP today
Stand alongside thousands of NHS and healthcare managers making health services work and making them work better.