DHSC’s proposed 2.8% pay uplift is ‘an insult’ to dedicated NHS staff – says Unite the Union

The Department of Health and Social Care (DHSC) has proposed a 2.8% pay uplift for NHS Agenda for Change (AfC) staff, including hospital pharmacists, for the 2025/2026 pay round. This recommendation was detailed in the DHSC’s submission to the NHS Pay Review Body (NHSPRB), which described the figure as “a reasonable amount to have set aside based on the macroeconomic data and forecasts and taking into account the fiscal and labour market context.” NHS England also supported the 2.8% pay increase, stating that its proposal reflects “the likely NHS budget from discussions to date with DHSC and what was set out by HM Treasury in the Autumn Budget 2024.” “We propose to set allocations for NHS planning on the basis of a 2.8% pay settlement. Every 0.5% increase above that costs around £700m; which is the equivalent to around 2% of elective activity (greater than 300k completed patient pathways),” it added. However, Unite the Union, representing NHS staff, condemned the DHSC’s recommendation, called the proposed increase “an insult.”