Campaigns
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.
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.
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.
Have your say on NHS pay
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.
Learn more >
Spread the word
Use NHS campaign graphics to raise awareness and build support for this campaign
Plans to cut tens of thousands of management and support staff jobs at NHS trusts in England are “going under the radar” and risk damaging patient care and undermining efforts to reform services, MiP has warned.
MiP Chief Executive Jon Restell warns MPs that NHS reforms are at risk if the management capacity needed to make them happen is cut.
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.
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.
Update your details here
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.
become a workplace rep
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.
colleagues can join here
Stand alongside thousands of NHS and healthcare managers making health services work and making them work better.
