NHS Pay Rise 2022: What’s happening?

The process of deciding on an NHS Pay Rise in 2022 is currently ongoing – this page aims to explain the process simply and explore how this differs across the UK.

What is happening with an NHS Pay Rise?

In evidence submitted by the Government for the NHS Pay Rise in 2022, they have stated a 3% pay rise is all they can afford given the current pressure on the economy. 

We are currently at Stage 2 of the pay review process.

It is widely expected that the NHS Pay Review Body (NHSPRB) will publish its recommendations in June 2022, and a decision on an NHS pay rise will be made shortly afterwards. 

You can use our NHS Pay Rise Calculator tool to figure out what this pay rise would mean for you.

The Process

Stage 0: The Secretary of State for Health and Social Care formally writes to the independent NHS Pay Review Body to request they make recommendations for the next financial year.

Stage 1: Stakeholders including health unions, NHS organisations, the Department of Health and Social Care (DHSC), and the Treasury will submit evidence to the NHSPRB for consideration in their report. The report will consider the current state of the workforce, recruitment and retention issues and, most notably for the Government, the current state of the economy and affordability.

Stage 2: The independent body will then consider the evidence submitted by stakeholders and undertake its independent research.

Stage 3: The NHSPRB usually publishes their annual report (here) at the end of March, but this has been delayed to June for the last few years due to the pandemic and the three-year pay deal.

Stage 4: Following the publication of this report, Governments can either decide to accept the findings and implement the recommendations of the NHSPRB report or opt instead to implement their own solution.

Stage 5: The decided pay rise would be implemented; any decided NHS pay rise would usually be backdated to 1 April of the same financial year.


For Agenda for Change (AfC) staff In England, Ministers at the Department of Health and Social Care and Treasury decide on any NHS pay rise following the NHSPRB report publication.

Scotland, Wales and Northern Ireland

NHS pay is considered a devolved issue; therefore, Scotland, Wales and Northern Ireland can either match a decision made in England or implement their own individual solution.

Wales and Northern Ireland are using the Pay Review Body process to help with their decisions on a pay award in 2022/23.

Scotland is not seeking a recommendation from NHSPRB for a pay award in 2022/23 and have agreed to hold direct negotiations with health unions.