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NHS: Pay

Asked by Patrick HurleyLabourDepartment of Health and Social CareTabled Answered 18 March 2026UIN 114245

The question

To ask the Secretary of State for Health and Social Care, whether his Department plans to extend the 2024-25 NHS pay settlement for staff aligned to Agenda for Change to social enterprises delivering NHS-funded services; and what assessment he has made of the potential impact of excluding such organisations on workforce retention, pay parity and service sustainability.

Answered by Karin Smyth

This specific assessment has not been made.

Independent organisations commissioned by the National Health Service in England, such as general practices or social enterprises, are free to develop and adapt their own terms and conditions of employment, including the pay scales that they use. It is for them to determine what is affordable within the financial model they operate.

Where such organisations choose to dynamically link to any of the national contracts, including Agenda for Change, those staff will be contractually entitled to receive the same uplifts in pay and associated terms and conditions as staff employed in NHS organisations.

The 2024/25 pay award was consolidated and funding has been issued. There are no plans to revisit the funding or to issue additional guidance.

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