NHS Unions Reject 3.6% Pay Rise, Strike Threat Looms

Nurses represented by the Royal College of Nursing (RCN) in England, Wales, and Northern Ireland have overwhelmingly rejected a 3.6% pay rise for 2025/26, with 91% voting against the offer in a record turnout and warning of possible strikes if the government does not negotiate a better deal before autumn. The RCN argues the pay offer fails to address years of pay erosion, widespread vacancies, and limited career progression, and emphasizes the importance of retaining experienced nurses for patient safety and the NHS’s future. Other NHS unions, including those for midwives, ambulance staff, and junior doctors, have also rejected the pay award, though the Royal College of Midwives will not pursue strike action due to low turnout. The government insists nurses have had above-inflation pay rises in recent years, while unions argue pay has fallen in real terms since 2010. Public opinion on nurse strikes is divided. NHS leaders warn that unresolved disputes could cause prolonged disruption for patients.