The Pay Offer for NHS Workers

Part of 3. Topical Questions – in the Senedd at 3:35 pm on 8 February 2023.

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Photo of Rhun ap Iorwerth Rhun ap Iorwerth Plaid Cymru 3:35, 8 February 2023

(Translated)

May I first of all comment on the proposed salary increase of 1.5 per cent, because it's only that that's being considered as a pay rise, not the bonus, of course? I am convinced that it isn't enough to make up for many years of pay cuts in real terms, and it's quite right that the union members themselves will now decide whether to accept it or reject it. 

In terms of this issue of pay restoration, it's good to hear a commitment in principle; what I would like to hear from the Minister is a plan to tackle the fact that we have seen a decade and more of pay cuts. 

We've just seen the proposals in terms of the issues not related to salaries. It's very important indeed that we have more detail on what's been offered, because a failure to deal with so many of those elements is a large part of what's driven more and more people to work for agencies, of course. I just want to focus on agency working. I have a copy here of a contract between NHS Cymru and all of the agencies providing health staff in Wales. Nursing—148 agencies have signed this agreement. Some of them are specialist, but what we have here is proof of the scale of the privatisation that has happened of the workforce within the NHS—148 companies making profits on the back of nurses and the NHS in Wales. And the contract states clearly how much they're paid—between £30 and £48 an hour, plus VAT, for band D nursing staff. The nurses themselves are paid from £20 upwards, so that's 30 per cent and more of a cut going to the agency. So, when will we see real movement away from this kind of contract, which sucks money out of our health service in Wales? How much money, and within what timescale do you need to spend that money in order to fund the small pay increase that you've offered now?

We need to ensure that the national nursing bank is something that is made a reality for the benefit of nurses, patients and the NHS, and in order to deliver higher and fair salaries in years to come.