Nesbitt Promises Workers Fair One-Off Deal

Health Minister Reaffirms Commitment To A One-Off Pay Settlement For Health Staff

Health workers and their respective trade unions have been waiting for some time for a gesture from the Department of Health on wages, and Health Minister, Mike Nesbitt in a statement today ( 12th February 2026) set out his proposals which cover only general workers, not doctors or dentists.

“In its latest report, the NHS Pay Review Body (NHSPRB) has made a core recommendation for a 3.3% consolidated uplift effective from 1 April 2026 for all Agenda for Change pay points.

“Recommendations from the Doctors and Dentists Pay Review Body that will cover Medical and Dental staff (including those working in primary care) are not expected until early April 2026.

Hospital trust workers will be considering the Health Minister’s one-off wages offer, but their unions will have to digest the implications. Doctors and dentists will have their offer on the table in April.

“We have continued to work with England and Wales on a tri-nation basis towards both a headline pay uplift and structural Agenda for Change reform. England and Wales have today confirmed that they will proceed with the NHSPRB recommendation of 3.3%.

“I can confirm that I remain fully committed to ensuring that pay will be the first priority for the Department and it is my desire to proceed with a headline pay award of 3.3% for AfC staff in 2026/27 and to progress towards HSC becoming a Real Living Wage (RLW) employer.

“I also intend to honour my commitment to funding for independent sector adult social care staff who provide direct care through commissioned services, in order to deliver the RLW for these staff. 

“Whilst it remains my firm ambition that pay increases will be received by all staff as early as possible in the incoming financial year, I am fully aware that I can only deliver against those commitments when clear about my budgetary position.

Pictured outside the Downshire Estate in Downpatrick in 2023 are Sonia Graham, right, Joint Branch Unison for NI Secretary with fellow Unison members on the two-day strike for better pay and conditions. Looks like this web of issues has not been solved yet. (Photo by Jim Masson/ Down News).

“However, even in the absence of agreement, I have asked my officials to progress the necessary preparatory work at pace.

“I must also be clear that the draft budget proposals currently being consulted on will mean another extremely challenging year, with very considerable savings required across HSC to meet the deficit.

“The imperative is to ensure that we can agree a three-year budget which would provide much needed certainty and greater freedom to plan ahead and progress with the necessary changes as to how health and social care will be delivered in the future.”

Whether the workers and trade unions accept this gesture remains to be seen despite the Minister’s claims of budgetary restraints.

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