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Nursing staff are chronically undervalued. Despite nursing being a highly skilled, degree-educated, safety-critical profession, outdated pay structures mean that many nursing staff begin and end their careers at the same pay level.

The situation is critical. Poor pay and working conditions are forcing staff to leave nursing. Almost half of the thousands of frontline NHS staff we recently surveyed say theyÃÛÌÒÖ±²¥™re actively planning or considering leaving their job.

We know that when nursing staff are paid fairly, offered career progression and work in fully staffed teams, they're more likely to stay in the profession.

We need members and supporters to come together to demand pay justice, improved career progression and safe staffing measures to address the workforce crisis in our health systems and deliver the recognition nursing staff deserve.

We're calling on governments across the UK to show that they value nursing as the skilled and safety-critical profession it is. Politicians must:

• Recognise that nursing wage rises have consistently been below inflation for the past 13 years. The impact of this has been exacerbated by the cost-of-living crisis.
• Value the care that nursing staff provide every day, and the training, qualifications, skills and responsibilities required by their roles.
• Commit to a substantial, above-inflation pay rise, to recognise the chronic workforce shortages and encourage staff to join and stay in the profession.
• Introduce measures to improve long-term career prospects for nursing staff.
• Create a fresh start for nursing as an attractive, rewarding profession to tackle the tens of thousands of unfilled nursing posts.  

Governments can use different routes to determine pay increases. Often governments in the UK ask review bodies to look at evidence and make recommendations on public sector pay before ministers set an award.

The Westminster government decides pay awards for NHS staff employed on Agenda for Change contracts in England following recommendations from the NHS Pay Review Body. Governments in Wales and Northern Ireland do the same for NHS staff in their respective countries, though they are often influenced by decisions made by the Westminster government. In Scotland, for the past few years, we have negotiated NHS pay directly with the Scottish government.

While the process only applies to NHS pay, the outcome tends to set a precedent for what nursing staff in independent and other health and social care settings are paid. 

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