NHS unions have reached a pay deal with the government in a major breakthrough that could herald the end of strikes by frontline staff.

The offer consists of one-off payment of 2% of their salary for the current financial year 2022/23 and a 5% pay increase for 2023/24.

It will apply to key workers including nurses and paramedics but not junior doctors, who are involved in a separate dispute over pay and conditions.

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Health Secretary Steve Barclay said the deal means a newly qualified nurse will get over £1800 this year on top of a payrise of over £1300 next year.

He said: “I hugely admire the incredible work of NHS staff, including during the pandemic and the progress they have made to tackle the resulting backlog.

“This offer will give nurses, paramedics, physiotherapists and other non-medical staff a fair pay rise while protecting our commitment to halve inflation.”

The offer will now be put to union members for a vote, with industrial action paused during that process.

The Royal College of Nursing, GMB and Unison said they will recommend their members accept the offer – but Unite said it was not good enough.

The unions represent NHS staff including nurses, paramedics, 999 call handlers, midwives, security guards and cleaners.

Sharon Graham, general secretary of Unite, said the decision ultimately lay with members and strikes will be paused while they are consulted on the deal.

But she added: “The offer from government is not one that Unite can recommend to our members.

“It is clear that this government does not hold the interest of workers or the NHS at heart. Their behaviour and disdain for NHS workers and workers generally is clear from their actions.

“Britain has a broken economy and workers are paying the price.”

‘Extra 2.5bn put on table’

Other unions were more welcoming of the agreement, even as they acknowledged it was “far from perfect”.

Unison said the one-off payment is worth £1,655 for staff at the bottom of band two (for example porters, cleaners and healthcare assistants), £2,009 for staff at the top of band five (nurses, midwives, physiotherapists), £2,162 at the top of band six (paramedics, health visitors, senior occupational therapists) and £3,789 for staff at the top of band nine.

Rachel Harrison, GMB National Secretary, said the offer is a “huge uplift for the lowest paid to keep them well above the Real Living Wage”.

She said the deal was reached after the government agreed to put an extra £2.5bn on the table to fund the pay increases.

“GMB members should rightly be proud of themselves. It’s been a tough road but they have faced down the Department of Health and won an offer that we feel is the best that can be achieved at this stage through negotiation.”

Ms Harrison said progress has also been made on non-pay demands, such as addressing violence in the workplace.

Nursing staff ‘vindicated’

RCN General Secretary and Chief Executive, Pat Cullen, also welcomed the agreement, saying: “The government was forced into these negotiations and to reopen the pay award as a result of the historic pressure from nursing staff. Members took the hardest of decisions to go on strike and I believe they have been vindicated today.”

It is not clear how the pay rises will be funded, with the government previously saying money for wage increases would have to come out of the budget for frontline services.

When questioned on this Mr Barclay deferred to the Treasury, saying only that it “would not come from areas of the budget that impact on patients”.

Prime Minister Rishi Sunak also insisted frontline services will “absolutely not” be affected by the pay deal to end strikes but would not say how the package will be funded.

Pressed by broadcasters during a visit to a south London hospital whether patient care would be hit, the prime minister said: “Absolutely not. We’re going to be making sure we’re protecting all frontline services.”

Ambulance members of Unison and Unite were due to strike next Monday and physiotherapists were going to walkout later this month but the action has been called off

Other strikes involving nurses and paramedics were paused earlier this month after the government finally agreed to talk about pay.

At the heart of the dispute was a demand for an increase for the current financial year, which ministers initially insisted was not affordable.

Tens of thousands of nurses, paramedics and other healthcare staff went on strike just before Christmas, then again in January and February.

Last month, the government finally agreed to talk about pay, averting several planned walkouts that would have seen thousands more operations cancelled.

The British Medical Association, which represents junior doctors, has called on Mr Barclay to meet with them tomorrow to discuss pay, following a 72-hour walkout earlier this week.