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Nurses set to hold first UK-wide strike

The first UK-wide strike by nurses looks set to go ahead.

The Royal College of Nursing is due to unveil the results of a ballot, which ended last week, in the next few days.

The final results are being counted but RCN source say a large majority of nurses have voted in favour of action in a dispute over pay.

The RCN had recommended to its 300,000 members that they walk out. If strikes take place, they would affect non-urgent but not emergency care.

The government had appealed to nurses to “carefully consider” the impact on patients.

But Pat Cullen, RCN general secretary and chief executive, said: “Huge numbers of staff – both experienced and newer recruits – are deciding they cannot see a future in a nursing profession that is not valued nor treated fairly.

She added: “Our strike action will be as much for patients as it is for nurses. We have their support in doing this.”

Chart showing nurse pay rates

The RCN had called for a rise of 5% above the RPI inflation rate which currently stands at above 12%, but no UK nation has offered close to that.

In England and Wales, NHS staff, including nurses, have been given an average of 4.75% more, with extra for the lowest paid.

In Scotland, 5% was initially offered to NHS staff, but that has been changed to a flat rate of just over £2,200, which works out at just over 8% for a newly-qualified nurse. In Northern Ireland, nurses are yet to receive a pay award.

  • NHS services may have to be cut to fund pay award
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During the ballot, the RCN had argued this year’s below-inflation pay award came after years of squeezes on nurse’s salaries.

Research commissioned by the union has found average pay fell by 6% between 2011 and 2021 – once inflation was taken into account – compared with a 4.6% drop for the whole economy.

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‘Why I voted yes to strike action’

Jodie Elliott, a senior staff nurse

Senior staff nurse Jodie Elliott has worked as a nurse for 10 years. She felt she had no choice but to vote for strike action.

She has opted out of the NHS staff pension because she could not afford to make the monthly contributions.

“My family were horrified, but it was the choice of that or going into debt each month. I just could not afford it.

“My pay has not kept up with inflation for 10 years and, given the cost of living now, it has got really bad.”

Ms Elliott, who is a local RCN rep, says she cannot even afford to replace clothes and shoes when they are worn out.

“My mother takes me shopping. That is ridiculous for a grown woman in her 30s. I don’t know how I would cope if I had children and other mouths to feed.”

She said the squeeze on finances was driving nurses away from the profession. “Every shift we are short of staff. Care is becoming unsafe.”

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Starting salaries for nurses in England are currently just above £27,000, rising to nearly £55,000 for the most senior nurses.

The RCN said the average pay for a full-time established nurse was just above £32,000 last year – similar to average pay across the economy.

But the government has argued it has met the recommendations of the independent NHS Pay Review Body in giving its award.

And it followed a 3% pay rise last year, in recognition of work during the pandemic, despite a public-sector pay freeze.

This is the first time the RCN has balloted all its members for strike action in its 106-year history.

In 2019, RCN members went on strike in Northern Ireland over pay, while nurses who are members of Unison in England walked out in 2014 over pay.

A host of other major health unions, including Unison, the Royal College of Midwives, GMB and Unite, have all started to, or are planning to, ballot members.

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