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Share your dilemmas and get honest opinions from other Mumsnetters.

Why is the NHS so generous with their employee leave

328 replies

Ionlywentandbloodydidit · 15/12/2025 23:03

Maybe I’m just jealous plain and simple.
I work really hard in a patient facing private sector clinical role ( not transferable to NHS) , long hours, huge amounts of stress and responsibility just like NHS workers . Four weeks holiday , no sick pay , no time off for GP, dentist appointments etc . Not just me , this is completely normal in my industry.
The NHS is on its knees , I see it every day , I’m privately employed but am also registered with NHS as a performer ( it’s complicated ) .
I have several friends who work within the NHS as nurses, midwife’s etc . They are all mostly on eight weeks holiday per annum , regularly on leave for months at a time on full pay for various reasons such as two months for a miscarriage, six months for the death of a very elderly parent or a bad back or stress etc.
They will all receive a good pension .
I’m so intrigued ( and envious I admit ) at how the NHS can be so generous with tax payers money.
Im ashamed to say I’m beginning to resent my NHS friends some of whom are quite brazen with it, especially when I also see first hand how long waiting lists are for consultations / ops for my own patients / family etc .

OP posts:
FredaMountfitchet · 16/12/2025 10:16

My understanding is the Nhs staff are paid less ie no pay rises for 8 years ! Pension scheme which penalises working extra hours & whole host of other non benefits
But hey if you feel you are missing out jump ship - they are crying out for staff !

cramptramp · 16/12/2025 10:17

PortSalutPlease · 16/12/2025 09:54

Now that I’ve had time to process the stupidity of some of the points in the OP, let me try and consolidate things:

  1. amount of leave: People regularly work 12 hour shifts, which is far longer than most people’s standard work day. If you work it out as a ratio of hours of leave vs hours worked, I suspect you’ll find it comes out even. Also, the leave allowance is pro-rata. You don’t get 33 days until you’ve given 10 years of service.
  2. Private sector vs NHS: I’d be willing to bet you are paid considerably more to compensate you.
  3. bereavement leave: this is just a barefaced lie. Nobody is getting 8 weeks off for the death of an elderly parent. The standard amount of compassionate leave is about 5 days.
  4. sickness: the NHS does have a very generous sickness policy. Perhaps it might ave something to do with the fact we all spend our days being exposed to disease and are therefore more likely to get sick than the general population. Not to mention the amount of stress we are faced with on a daily basis. Do people spit on you and threaten to stab you at work?

Not everyone in the nhs is exposed to disease every day.

Stressedoutmum79 · 16/12/2025 10:19

It's not I'm on 27 days annual leave and salary is just over minimum wage, I'm only here still as my job gives me the flexibility to manage my autistic teen/school/appointments. The sick leave is generally on the same level as civil service jobs.

Letthemeatgateau · 16/12/2025 10:20

LadyTaxaLot · 16/12/2025 10:13

re the bank holiday entitlement….its 8 days. If you are rostered as a day off on a bank holiday it is deducted from your entitlement. If you are rostered onto a shift you have a day off in lieu added to your basic entitlement. After 20 years I get the maximum 33 days leave. Plus any days in lieu (up to 8) where I am rostered to work a bank holiday.

re actually getting your leave. Good luck trying to get the days you actually want to take. Applications for leave are regularly refused, then you get berated because you haven’t “followed policy” and booked the percentage of leave you’re supposed to. Eventually they just allocate your annual leave to you on days it suits them.

I dint know who is working our your leave, but they're not doing it right. If a BH falls on your day off, that BH shouldn't be taken from your BH entitlement. The hours should be left in your leave allowance to be taken at another time.

JHound · 16/12/2025 10:22

The pay is shit so they make up for it with other benefits.

Also do you know all this leave is paid

tv12345 · 16/12/2025 10:23

I know someone who worked for the NHS and was off for a year with stress (paid), her stress was mainly that she didn't want to work and wanted to be home with her 3 kids. They then did a voluntary redundancy scheme and they paid her a good chunk to leave.

DeemonLlama · 16/12/2025 10:27

It starts as normal 27 days per year annual leave in NHS just like a lot of places. It builds up to a maximum of 33 days after I think 15 years service. I don't call that excessive. NHS employees are supposed to get a decent pension but they pay a LOT directly from their salary as well for that. The employee contributions are large and it's not optional. They are entitled to the usual sick pay rules that cover any other government employees. I don't think this is excessive. It's really what everyone should be on. It's usual sick pay for 6 months and then SSP after that like all local authorities etc. it's not the NHS fault that u didn't agree a decent package for yourself you are being totally unreasonable. They are not slaves and you don't own them just because you are a tax payer.

IlCommissarioMontalbano · 16/12/2025 10:33

EmptyNester25 · 15/12/2025 23:06

Assuming your company is profit making, maybe you should ask why you allow yourself to work with such poor terms and conditions. Maybe join a union. It's not a race to the bottom.

This ^^

SunnyViper · 16/12/2025 10:39

The maximum NHS leave is 33 days plus BH and that is after 10 years continuous service. Not that excessive if you ask me.

Hellohelga · 16/12/2025 10:40

Two months sick leave for a miscarriage (assuming no medical complications) and six months sick leave for a bereavement (assuming it’s not your child) is just crazy. Private sector would collapse if people did this.

EyeLevelStick · 16/12/2025 10:47

Ionlywentandbloodydidit · 16/12/2025 00:05

Well gosh , this is exactly what I mean but you write it much better. I’m clumsy with my words .

I work in the NHS and don’t recognise that description. It’s all unpaid overtime, working whilst sick, picking up emails during AL and weekends in my sector.

If it wasn’t for the decent T&C many of us would have left/retired already and recruitment and retention problems would be even worse than they are.

Donttellempike · 16/12/2025 10:48

Ionlywentandbloodydidit · 15/12/2025 23:03

Maybe I’m just jealous plain and simple.
I work really hard in a patient facing private sector clinical role ( not transferable to NHS) , long hours, huge amounts of stress and responsibility just like NHS workers . Four weeks holiday , no sick pay , no time off for GP, dentist appointments etc . Not just me , this is completely normal in my industry.
The NHS is on its knees , I see it every day , I’m privately employed but am also registered with NHS as a performer ( it’s complicated ) .
I have several friends who work within the NHS as nurses, midwife’s etc . They are all mostly on eight weeks holiday per annum , regularly on leave for months at a time on full pay for various reasons such as two months for a miscarriage, six months for the death of a very elderly parent or a bad back or stress etc.
They will all receive a good pension .
I’m so intrigued ( and envious I admit ) at how the NHS can be so generous with tax payers money.
Im ashamed to say I’m beginning to resent my NHS friends some of whom are quite brazen with it, especially when I also see first hand how long waiting lists are for consultations / ops for my own patients / family etc .

Yes. You’re jealous. Or a shit stirrer. Or both 🤷‍♀️

TorturedParentsDepartment · 16/12/2025 10:51

I'm currently blowing through my remaining annual leave trying to NOT need to go off sick with massive ASD burnout by the way.

MumbleBumbleAppleCrumble · 16/12/2025 10:51

A) Your facts are wrong;
B) Leave (anywhere) is less about employer kindness than about staff retention: most NHS staff work themselves into the ground and so leave is essential to avoid too much burn out/ staff leaving the sector;
C) As is always the case with these sorts of threads when people in the corporate world complain about those who aren’t (NHS/ teachers, etc.). Working in the corporate world has certain benefits - namely pay - teachers, nurses, firefighters, and such get paid somewhere between just about satisfactory and appallingly. Their benefits are in other things, such as leave. I used to work in the corporate world. Pay fab, leave - especially for health or compassionate stuff - was dreadful. I now work for a charity. Pay not so good, but my gosh they are great when it comes to illness, family bereavements and childcare problems.

randomchap · 16/12/2025 10:55

Hellohelga · 16/12/2025 10:40

Two months sick leave for a miscarriage (assuming no medical complications) and six months sick leave for a bereavement (assuming it’s not your child) is just crazy. Private sector would collapse if people did this.

Good job that is just bullshit then. Something made up to anger people

sashh · 16/12/2025 10:56

MajesticWhine · 15/12/2025 23:13

6 months bereavement leave is not a thing in the NHS. You can get 6 days compassionate leave. Anything more would have to be sickness and you would need fit notes.

Yep I had to take holiday for the day my grandad died, and another for the funeral.

When I was on sick leave for an extended period I had weekly calls to my line manager.

TennisLady · 16/12/2025 10:58

LadyTaxaLot · 16/12/2025 10:13

re the bank holiday entitlement….its 8 days. If you are rostered as a day off on a bank holiday it is deducted from your entitlement. If you are rostered onto a shift you have a day off in lieu added to your basic entitlement. After 20 years I get the maximum 33 days leave. Plus any days in lieu (up to 8) where I am rostered to work a bank holiday.

re actually getting your leave. Good luck trying to get the days you actually want to take. Applications for leave are regularly refused, then you get berated because you haven’t “followed policy” and booked the percentage of leave you’re supposed to. Eventually they just allocate your annual leave to you on days it suits them.

That’s not correct. I worked in HR in the NHS and you are misunderstanding it.

Nurses with shift patterns get an annual leave allowance that is inclusive of bank holidays. It does not matter whether or not they happen to be on shift on a bank holiday as they’re already built into their annual leave allowance.

EyeLevelStick · 16/12/2025 11:06

LoveItaly · 16/12/2025 09:03

Taxpayers pay a hell of a lot to keep the NHS running, and, far from being the envy of the world, it is unfortunately an example of how not to run an efficient healthcare system. It should be completely open to scrutiny and criticism, not this ridiculous sacred cow that it has become.

NHS employees are all taxpayers.

If you were given back the proportion of your taxes that go to the NHS, do you think that you could buy comprehensive health insurance?

Unless you’re a high earner with youth and good health on your side I very much doubt you could.

Keepoffmyartichokes · 16/12/2025 11:12

My friend is a ward sister in the NHS and she gets 33 days annual leave but is very restricted to when she can take them.
She does get frustrated with some of the piss taking with sickness though. But I do think you get that everywhere.
I am private sector I get 35 days annual leave but have no restrictions to when I take them.
We also have some who take them piss with sickness because we have a generous scheme and they can.

Grammarnut · 16/12/2025 11:12

So you object to a compassionate employer and think everyone should be as badly treated as you are? I suggest you join a union.
But the problem with the NHS is burnout. Wards are massively understaffed in many areas, technocratic management sets targets which have no relation to clinical practice on the front line and everyone is stressed but must show compassion at all times. At any moment an emergency may occur and - as seen with current flu epidemic - the system is at capacity (a well-run system would have only 85% bed occupancy at any time to take account of emergencies, epidemics, massive accidents etc) because having empty beds was considered by various governments (with no understanding of how hospitals work) as a waste of money. So any small disaster sets the whole system off-kilter.
For profit health care doesn't have to worry about emergencies or epidemics, only about selling treatments. Change your job, perhaps?

Loobyloolovesandypandy · 16/12/2025 11:12

Plaguedbyulcers · 16/12/2025 01:20

We don't get 8 weeks though! I get the max amount of annual leave due to 10 + years of service and it's 33 days. OP clearly has friends who are misleading her 😅

But 33 plus 8 stat is 41 working days ie 8 weeks (41 divide by 5) and 1 day no?

Grammarnut · 16/12/2025 11:17

Hellohelga · 16/12/2025 10:40

Two months sick leave for a miscarriage (assuming no medical complications) and six months sick leave for a bereavement (assuming it’s not your child) is just crazy. Private sector would collapse if people did this.

The NHS does not do this. My ex-brother-in-law did not get leave when his mother died etc.

BIossomtoes · 16/12/2025 11:17

Hellohelga · 16/12/2025 10:40

Two months sick leave for a miscarriage (assuming no medical complications) and six months sick leave for a bereavement (assuming it’s not your child) is just crazy. Private sector would collapse if people did this.

It’s a good thing they don’t then, isn’t it?

1457bloom · 16/12/2025 11:19

A big problem with the NHS is that all the staff know it is very rare for anyone to get fired. There is an appeals process and the staff who know the system can drag it out endlessly. As a result, a lot of staff take the piss because they know they won’t get fired. This makes the manager’s job really hard, because they have no leverage. This really should be addressed. In the private sector if you take the piss you get fired, as a result most people behave themselves.

Thefreakyfairy01 · 16/12/2025 11:19

When I worked as an RN for the NHS (I retired on medical grounds in 2001) we got 30 AL and 10 days Bank holidays, as these were not given as standard to staff but we're still paid as time and a half if you did work them!
The 'benefit' packages nurses are given are to counteract the fact that wages are quite low, work so stressful and hours are long. At the time if you were unlucky enough to pull a 14hr shift you only got as standard 90 minutes of breaks over the day!
I think getting 40days of holidays wasn't so bad for missing out on long weekends, christmas' and new years.