I am pleased to announce that we are publishing our response to the recommendations made by the independent Senior Salaries Review Body for the 2026-27 financial year.
I hugely appreciate the incredible work of talented staff across our NHS, and that is why I am formally accepting the headline pay recommendation of 3.0% for senior leaders across the NHS in England, to give them a well-deserved pay rise. This award relates to:
Over 3,200 very senior managers (VSMs)
Over 400 executive senior managers (ESMs)
These awards mean that the Government are delivering a well-deserved pay rise, on top of those in preceding years, underlining the extent to which we value our senior leaders. Eligibility for pay awards for VSMs is linked to their organisation’s performance as determined by the NHS oversight framework segment to which they are assigned:
https://www.england.nhs.uk/publication/nhs-oversight-framework/I am grateful to the Chair and members of the SSRB for their thoughtful consideration of the evidence presented to them. Their report recognises the vital contribution that NHS leaders make to our country. The SSRB has examined the economic picture and evidence on recruitment, retention, motivation and morale to reach their recommendations.
The SSRB made a further two recommendations, which are not directly related to headline pay. I recognise the challenge of recruiting those at the top of the Agenda for Change pay scale into VSM roles. To help address this, I am therefore pleased to accept the recommendation to deliver training and support knowledge-sharing for remuneration committees and chief people officers. However, we will do this over a longer timeframe than envisaged by the SSRB, to allow sufficient engagement with relevant stakeholders in the design and delivery of the training. Following engagement with stakeholders, we will deliver this training within this financial year.
I can also confirm that I am accepting, in principle, the recommendation to withdraw the very out-of-date executive senior managers pay framework. It is not feasible to withdraw and replace the framework ahead of April 2027. Any changes to ESM pay setting and reward will need to be carefully sequenced and considered alongside the ongoing DHSC/NHSE transformation.
We will continue to implement commitments to improve the support NHS staff receive and their experience at work. Ensuring the NHS is a great place to work is fundamental to improving patient experience: from reducing the backlog in elective care to ensuring timely access to GP appointments.
Next steps
We have listened to the workforce and understand the difficulties they face when pay awards are not delivered on time. I am pleased to be announcing the pay awards earlier than the previous year. We will continue work across Government to keep bringing forward the pay round for all public sector staff.
The SSRB report will be presented to Parliament and published on gov.uk.
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