NHS: Equal Pay
The question
To ask the Secretary of State for Health and Social Care, with reference to the press release entitled NHS leaders face both ‘carrot and stick’ in new performance drive, published on 15 May 2025, what assessment he has made of the potential impact of the provision to not implement pay rises on equal pay in the NHS.
Answered by Karin Smyth
My Rt Hon. Friend, the Secretary of State for Health and Social Care accepted the headline pay recommendations for National Health Service staff from the independent pay review bodies, and staff will receive their backdated pay uplifts from August
The Department conducted an equality impact assessment of the new pay framework for very senior managers (VSMs), which includes the provision to withhold pay uplifts for VSMs working in underperforming organisations, defined as the organisations placed in segment five of the new NHS Oversight Framework.
It found that, overall, the proposal to withhold pay uplifts for VSMs in segments five is not expected to result in a statistically significant difference in relation to protected characteristics. As VSMs are not employed on national contracts, local remuneration committees will be required to assess the impact on equalities in relation to decisions on pay at an organisation level.
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