NHS Scotland staff have voted to accept a pay offer from the Scottish Government worth 4.25% this year and 3.75% in 2026/27. It also includes a guarantee that, if inflation increases, NHS staff in Scotland will be paid 1% above the CPI rate.
UNISON Scotland is the largest health union, representing over 60,000 NHS staff in Scotland including nurses, midwives, call handlers, paramedics, administrators, allied professional staff, caterers, porters and facilities staff.
Unison Head of Health Matt McLaughlin said:
“NHS workers have accepted the deal. Now ministers must get the wage rise into their pay packets as soon as possible.
“However, there’s no room for complacency. Waiting lists are the worst since devolution. The NHS in Scotland must address staff shortages if it is to turn the service’s fortunes around.”
The overall package is estimated to be worth £701 million in 2024-25.
James O’Connell, lead negotiator for Unite’s health sector said:
“ The offer includes a critical clause which ensures pay remains inflation proof. If there is any attempt to renege on this clause then Unite will automatically hold an industrial action ballot.
“The challenges facing NHS Scotland are not just about pay but the wider working conditions and extra investment. The Scottish government and NHS executives must resolve the reduction in the working week as previously agreed to. Our members are exhausted and beyond breaking point.”


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