On 12 February 2026, the Government confirmed it will implement the NHS Pay Review Body (PRB) recommendation of a 3.3% pay uplift for 2026/27. The increase will be paid in April 2026 and will apply to all Agenda for Change (AfC) bands. Structural reform talks on the AfC pay system are also set to begin, with any agreed changes backdated to 1 April 2026.
Why GMB Is Disappointed
GMB representatives met on 13 February and expressed deep disappointment with the award. While the 3.3% uplift is slightly above what the Government said was “affordable,” it remains below current inflation, meaning NHS workers face another real-terms pay cut.
For years, GMB has raised concerns about the independence, timing and fairness of the PRB process. Despite attempts to engage and pursue alternative negotiations this year, the Government chose to proceed with the PRB recommendation rather than collective bargaining.
Agenda for Change Structural Reforms
Alongside the pay uplift, the Government has committed additional funding to begin long-awaited AfC structural reform talks. These discussions are expected to cover:
- Protecting the lowest pay bands from falling below National Minimum Wage levels
- Addressing pay compression between bands
- Improving graduate pay across professions
- Investing in job evaluation, particularly for Band 5–6 nurses
GMB will play a full role in negotiations through the NHS Staff Council, and members will be consulted on the full package once details are finalised.
What Happens Next?
The 3.3% increase will be implemented in April as an imposed award. Meanwhile, negotiations on structural reforms are expected to begin shortly. Ultimately, NHS members will decide whether the combined package is acceptable.
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Get Involved
Members are encouraged to:
- Speak to colleagues about the update
- Ensure contact details are up to date – Email Enquires@GMBEMAS.org
- Volunteer as a GMB representative or voter champion
- Encourage non-members to join – click here to join
- Read full article
This campaign is about securing fair pay and restoring the value of NHS wages. Your voice and involvement matter.