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Sunday 22/02/2026

Nurses Reject Pay Rise, Raising Prospect of NHS Strikes

Nurses in uniforms protesting with 'Fair Pay Now' banners outside a hospital.
Ethan BrooksEthan Brooks

In This Article

HIGHLIGHTS

  • Nurses in England, Wales, and Northern Ireland have overwhelmingly rejected a 3.6% pay rise, potentially leading to strikes.
  • The Royal College of Nursing (RCN) and GMB union members have expressed dissatisfaction, citing inflation and lower increases compared to other professions.
  • The RCN plans to negotiate with the government over the summer to avoid a formal strike ballot in the autumn.
  • Resident doctors in England are currently on a five-day strike, demanding a 29% pay increase.
  • NHS England's chief warns of potential disruptions if pay disputes continue into the winter.

Nurses across England, Wales, and Northern Ireland have decisively rejected a 3.6% pay increase, a move that could herald further strikes within the National Health Service (NHS). The Royal College of Nursing (RCN) conducted an indicative vote among its 345,000 members, revealing widespread discontent with the government's pay offer, which they have labeled "grotesque."

The RCN's rejection of the pay deal underscores the growing frustration among healthcare workers, who argue that the proposed increase fails to keep pace with inflation and falls short of the raises awarded to other public sector workers such as doctors and teachers. The union has emphasized that the real-terms value of nurses' pay has diminished by a quarter since 2010/11.

Union Response and Government Negotiations

The RCN has indicated its willingness to engage in discussions with government officials over the summer, aiming to avert a formal strike ballot in the autumn. A spokesperson for the RCN stated, "As the largest part of the NHS workforce, nursing staff do not feel valued, and the government must urgently begin to turn that around."

Meanwhile, the GMB union, representing thousands of NHS staff including ambulance crews, has also rejected the 3.6% pay offer. GMB national secretary Rachel Harrison has called for an urgent meeting with Health Secretary Wes Streeting to address pay and other critical issues.

Ongoing Strikes and Potential Impact

The current climate of unrest within the NHS is further exacerbated by ongoing strikes from resident doctors in England, who are demanding a 29% pay increase. Sir Jim Mackey, chief executive of NHS England, has warned of a "snowball effect" of disruptions if these disputes persist, potentially impacting patient care and staff morale.

As the NHS braces for potential strikes, the focus remains on whether the government will engage in meaningful negotiations to address the concerns of its healthcare workforce.

WHAT THIS MIGHT MEAN

The rejection of the pay rise by nurses and other NHS staff signals a critical juncture for the UK healthcare system. Should the government fail to address these grievances, the NHS could face significant disruptions in the coming months, particularly as winter approaches—a period traditionally marked by increased demand for healthcare services.

Experts suggest that successful negotiations could hinge on the government's willingness to consider broader changes to pay structures and working conditions. The RCN's call for improved financial support for nursing students and revisions to the Agenda for Change pay structure highlights the need for a comprehensive approach to resolving these disputes.

As the situation unfolds, the government's response will be closely scrutinized, with potential implications for public sector pay negotiations across the UK.