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Share your dilemmas and get honest opinions from other Mumsnetters.

Why are nurses always bottom of the list?

179 replies

TommyAndGinaAreHalfWayThere · 23/05/2025 07:37

Why is it whenever public service pay rises are announced, nurses are always given less than other sectors.

I have nothing against teachers - I couldn’t do their job but why do they always get more than nurses? Genuine question.

It always seems to me that nursing is seen by the government as a “lesser job”.

Is there a wonder nobody wants to do it anymore? When I started university there were 300 students in our cohort. After one year this dropped to 200. By the time we graduated it had dropped to 150.

Off all the nurses I graduated with I would estimate that more than half have since left - myself included. I have a close friendship group from uni -

me - left after 7 years
friend 1 - left after 6 years
friend 2 - still nursing
Friend 3 - left after 4 years
friend 4 - left after 5 years
friend 5 - moved to Australia 😂

Is there any wonder? Over worked, under paid and generally treated like shit.

OP posts:
IdiottoGoa · 23/05/2025 15:40

Sidge · 23/05/2025 07:55

Given we rarely get a pay rise, and usually just a below-inflation cost of living rise we’ve actually had year-on-year pay cuts.

No wonder we’re fed up. A study in 2019 showed average nurses pay was the same in 2019 as it was in 2008. I don’t think it’s changed much since then.

I think that must have changed, I left the NHS in 2012 and was looking at exactly the same band yesterday, it was at least 10K more at the top of the band, the bottom of the band now is more than the top of the band in 2012

Tiredalwaystired · 23/05/2025 15:57

HoskinsChoice · 23/05/2025 15:19

But that's the same as any job. You can either do the same job for the rest of your life at the same level on the same salary banding or you can progress your career up the ladder into management or specialist roles. That's literally every single job in the world.

You're only 'stuck' if you don't want to change or are not capable. You can't expect to be paid more for doing the same job (inflationary related increases excepted).

No it’s not the same as pay is standardisedin the NHS.

if you work for company A but company B really wants your still set you can negotiate a better salary for a similar job There is no negotiation in the NHS.

Blushingm · 23/05/2025 16:15

HoskinsChoice · 23/05/2025 15:19

But that's the same as any job. You can either do the same job for the rest of your life at the same level on the same salary banding or you can progress your career up the ladder into management or specialist roles. That's literally every single job in the world.

You're only 'stuck' if you don't want to change or are not capable. You can't expect to be paid more for doing the same job (inflationary related increases excepted).

The nhs is very different - the whole organisation has the same pay structure - it’s not like other industries where you can negotiate or anything outside of those bandings - so yes, you are stuck

Nevertooearlyforsanta · 23/05/2025 16:20

I would beg to differ on this one, Social Workers generally always get lower than nurses! Sometimes by a considerable amount!

Doone22 · 23/05/2025 16:31

Don't agree at all. All NHS staff get great pay and benefits and pensions.
That's not to say there's still a lot wrong: having to pay for your degree for starters.
There are very highly skilled people getting less money and less respect working in care sector and nurseries.

HoskinsChoice · 23/05/2025 16:43

Tiredalwaystired · 23/05/2025 15:57

No it’s not the same as pay is standardisedin the NHS.

if you work for company A but company B really wants your still set you can negotiate a better salary for a similar job There is no negotiation in the NHS.

Sadly that just doesn't happen in real life if you're going to do exactly the same job. Say you start your career on the tills in Sainsbury's then go to do the tills in Asda then go to do the tills in Tesco then finish your career on the tills in Morrisons, you'll be on pretty much the same money throughout your life (assuming inflation is taken into account).

There will always be the exception that prove the rule but there really are some serious misconceptions about how the private sector works. Why would any company pay more money than market rate? It doesn't matter what walk of life you're in, if you want more money you have to do more.

TortolaParadise · 23/05/2025 17:19

Viviennemary · 23/05/2025 07:44

Nurses and teachers always seem to be wanting more money. No sooner do they get a pay rise then they want more.

The reason for this could be two fold. The pay rise is dished out piecemeal so it may appear that teachers are always getting a pay rise.
The pay rise is not in line with inflation and so the cycle continues.

daddysgirlnot · 23/05/2025 17:22

Dreambouse · 23/05/2025 14:01

Won't complain is crazy 😂 the real issue is that nurses are part of AfC which encompasses so many different NHS workers (including corporate) that any payrise has to include so many people that it'll never be as high as if they had their own bandings. Not that other healthcare staff or admin/corporate don't deserve a pay rise, but any strike action taken by nurses is essentially on behalf of others too, many of whom vote to accept offers for various reasons. Rather than campaign for better pay they'd be better off firstly campaigning to be separated out.

This was looked at this year because nurses wanted a separate pay spine in comparison to admin staff etc. Gov’t said ‘no’

IwasDueANameChange · 23/05/2025 17:30
  1. Entry requirements are much lower than for medicine. Bigger pool of people who can do it = supply > demand.
  2. Its a popular job that appeals to many young people.
  3. The opportunity to fit a weeks worth of hours into 3 12 hour shifts can reduce your childcare costs which appeals to many.
  4. Its easy to import cheap nurses from abroad.
GlennCloseButNoCigar · 23/05/2025 17:50

TommyAndGinaAreHalfWayThere · 23/05/2025 07:37

Why is it whenever public service pay rises are announced, nurses are always given less than other sectors.

I have nothing against teachers - I couldn’t do their job but why do they always get more than nurses? Genuine question.

It always seems to me that nursing is seen by the government as a “lesser job”.

Is there a wonder nobody wants to do it anymore? When I started university there were 300 students in our cohort. After one year this dropped to 200. By the time we graduated it had dropped to 150.

Off all the nurses I graduated with I would estimate that more than half have since left - myself included. I have a close friendship group from uni -

me - left after 7 years
friend 1 - left after 6 years
friend 2 - still nursing
Friend 3 - left after 4 years
friend 4 - left after 5 years
friend 5 - moved to Australia 😂

Is there any wonder? Over worked, under paid and generally treated like shit.

Us in early years get minimum wage. I’d argue we’re at the bottom of the list too. I’ve never had a pay rise.

Toddlerteaplease · 23/05/2025 17:52

Don’t get me started on Doctors getting more.

RafaistheKingofClay · 23/05/2025 18:00

HoskinsChoice · 23/05/2025 15:19

But that's the same as any job. You can either do the same job for the rest of your life at the same level on the same salary banding or you can progress your career up the ladder into management or specialist roles. That's literally every single job in the world.

You're only 'stuck' if you don't want to change or are not capable. You can't expect to be paid more for doing the same job (inflationary related increases excepted).

I think if AfC staff and doctors had had inflation related pay rises for the last 14 years we wouldn’t be having this discussion. As it is doctors are down 22% and AFC not quite so much but still well into double figures.

RafaistheKingofClay · 23/05/2025 18:04

Doone22 · 23/05/2025 16:31

Don't agree at all. All NHS staff get great pay and benefits and pensions.
That's not to say there's still a lot wrong: having to pay for your degree for starters.
There are very highly skilled people getting less money and less respect working in care sector and nurseries.

That’s why we are losing staff to Lidl and Tesco. And ads that used to get 70+ applicants are getting 0.

GlmPmum · 23/05/2025 18:14

cos the can and do take the piss! My husband works for the local authority and for the first time I can remember he is getting lower pay rise than me!

SaintAgatha · 23/05/2025 18:24

Viviennemary · 23/05/2025 07:44

Nurses and teachers always seem to be wanting more money. No sooner do they get a pay rise then they want more.

God, you again. Don’t you get tired of being such an enormous knob?

clareykb · 23/05/2025 18:27

I'm a local authority social worker...no pay rise for us but nhs social workers have got one... we always have vacancies.. Wonder why!

TortolaParadise · 23/05/2025 18:45

You're only 'stuck' if you don't want to change or are not capable. You can't expect to be paid more for doing the same job (inflationary related increases excepted).

I think workload is part of the issue. Where job descriptions change beyond recognition when compared with the jobs we (general we) trained to do or initially applied for, pay expectations should to. For example a class teacher in 1995 had fewer responsibilities and duties than a 2025 class teacher. The job title remains the same. The job description/roles/duties do not remain the same. You should expect to be paid more IMO.

Tiredalwaystired · 23/05/2025 19:41

HoskinsChoice · 23/05/2025 16:43

Sadly that just doesn't happen in real life if you're going to do exactly the same job. Say you start your career on the tills in Sainsbury's then go to do the tills in Asda then go to do the tills in Tesco then finish your career on the tills in Morrisons, you'll be on pretty much the same money throughout your life (assuming inflation is taken into account).

There will always be the exception that prove the rule but there really are some serious misconceptions about how the private sector works. Why would any company pay more money than market rate? It doesn't matter what walk of life you're in, if you want more money you have to do more.

But We’re not talking minimum wage, unskilled work here, are we? Of course it happens in the private sector.

NotSmallButFunSize · 23/05/2025 20:07

RaspberryRipple2 · 23/05/2025 08:00

The payrises announced are quite generous given the increase in national insurance - private sector pay rises are generally being capped at 2% this year as far as I’ve heard. There’s absolutely nothing to complain about here, they will seem very generous for the majority of readers.

Yes, let's all race to the bottom.

Maybe private sector workers should be kicking up their own stink about shitty rises - we're all being conditioned to just be grateful for the scraps thrown our way. 3.6% when inflation has been hitting 11% within the last couple of years is absolute shite in real terms.

Entertainedforever · 23/05/2025 20:47

rivalsbinge · 23/05/2025 07:40

I’m not even in nursing and do notice that they are always the bottom of the list, I have just looked at retaining as a radiographer and I can’t afford too, after uni costs and then the salary being so low for so long as a 2nd career I can’t adored to do it. The wages in healthcare and care need to be so much better.

Depends what you mean by low. My husband is a radiographer and earns over £62k a year, 10 years from graduating. He paid off his student loans in 6-7 years. I think he’s well compensated for what he does. Pension is also very good, plus enchanted parental/sick leave.

Nurses on the other hand work so much harder, there are more of them so there are fewer opportunities for promotion and they have to actually deal with patients for more time. They rarely get breaks and leave on time. I’m not surprised we have a shortage and since the Tories got rid of grants, who wants to do it? Husband does being a radiographer is the best job in a hospital.

daddysgirlnot · 23/05/2025 21:25

Doone22 · 23/05/2025 16:31

Don't agree at all. All NHS staff get great pay and benefits and pensions.
That's not to say there's still a lot wrong: having to pay for your degree for starters.
There are very highly skilled people getting less money and less respect working in care sector and nurseries.

the pensions have been eroded too. After 35 years my current projection is £600pm (top band 6)

CousinBob · 23/05/2025 21:31

That’s terrible daddysgirlnot. Have you been part time for a lot of those years?

HoskinsChoice · 23/05/2025 21:50

Tiredalwaystired · 23/05/2025 19:41

But We’re not talking minimum wage, unskilled work here, are we? Of course it happens in the private sector.

I see. So, in your view, it's OK to leave 'minimum wage, unskilled' (your phrase not mine. Apologies to those that she is insulting) workers on the same terrible earnings but not above average earning nurses. Interesting take...

HoskinsChoice · 23/05/2025 21:56

NotSmallButFunSize · 23/05/2025 20:07

Yes, let's all race to the bottom.

Maybe private sector workers should be kicking up their own stink about shitty rises - we're all being conditioned to just be grateful for the scraps thrown our way. 3.6% when inflation has been hitting 11% within the last couple of years is absolute shite in real terms.

Most private sector workers can't kick up a stick because most private sector businesses are not unionised. This is exactly why the public sector is perceived to have lower pay rises - the public sector is unionised and therefore we all get to hear about the pay rises. The private sector is mostly not unionised so nobody knows how good or bad their rises are. We must not assume that because the private sector are not kicking up a stink is because they're happy, it's just because they don't have the means to do it.

daddysgirlnot · 23/05/2025 23:15

CousinBob · 23/05/2025 21:31

That’s terrible daddysgirlnot. Have you been part time for a lot of those years?

Was part time for about 12 years. However the scheme I’m in takes the best out of final 3 years. Have been full time for past 7 years.

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