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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:
Motnight · 16/12/2025 11:19

If the NHS is that amazing to work for, and the terms and conditions so superior to those in the private sector, why is there a recruitment and retention crisis?

Imdunfer · 16/12/2025 11:23

EyeLevelStick · 16/12/2025 11:06

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.

NHS employees are all taxpayers.

Not in the sense that they contribute anything to total tax revenue. The tax public sector employees pay was taken from private sector taxation and put in their pay so they could give it back again.

It's only an accounting wrinkle so they can treat public and private sector pay the same.

A nurse or teacher who has no other income is not paying one penny towards the cost of running the state.

There's nothing wrong with that, before anyone jumps on it. But it is a fact.

TorturedParentsDepartment · 16/12/2025 11:25

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.

Yep this is a huge issue - we've got a colleague at the moment who is, at best, incompetent, but at worst, incompetent and bone idle and knows exactly how far she can push it and what to say to make herself as untouchable as possible.

Working with her, and pushing back on her constant attempts to get me to cover her laziness is what's destroyed my own mental health to the point I'm moving out of a community patch I've done for years, know the patients and care teams - just to get away from her.

Makes me incredibly angry - hopefully things are in place so she'll get her comeuppance eventually - but I'm not doing her job as well as my own - hence requesting a move.

BishyBarnyBee · 16/12/2025 11:28

I think you need to tell us the industry you're in, where the stresses are so high and the rewards are so poor. If it's a whole industry, it's hardly outing to say what it is.

StressedLP1 · 16/12/2025 11:29

It’s not a race to the bottom. If your own benefits are inadequate the best thing to do is take it up with your employer.

EyeLevelStick · 16/12/2025 11:29

Imdunfer · 16/12/2025 11:23

NHS employees are all taxpayers.

Not in the sense that they contribute anything to total tax revenue. The tax public sector employees pay was taken from private sector taxation and put in their pay so they could give it back again.

It's only an accounting wrinkle so they can treat public and private sector pay the same.

A nurse or teacher who has no other income is not paying one penny towards the cost of running the state.

There's nothing wrong with that, before anyone jumps on it. But it is a fact.

Edited

They are taxpayers though.

And the people bleating about their taxes paying for the public sector are probably paying a similar amount in taxes to those public sector workers they are complaining about.

PrioritisePleasure24 · 16/12/2025 11:31

olympicsrock · 15/12/2025 23:14

Have a look at NHS terms and conditions . Definitely not 8 weeks . It’s 30 days usually .

I get nearly 8 weeks. I’ve done twenty years service for that extra leave. You get a little more in 5 years and then a little more again by 10 years.

It was probably to try and encourage long service. Back in the day where they tried to attract people.

Also i have friends in local gov and university that have more than 4/5 weeks leave its not solely the NHS.

SJone0101 · 16/12/2025 11:33

My husband is a police officer and this year he was "sick" with stress for 10 weeks which just so happened to fall over the summer holidays. Saved us almost £2k in holiday clubs and he actually got to spend time with his kids.

The problem with the public sector is that "sick" can be anything from broken leg, can't drive for 6 weeks or "stress or mental health" which can't be measured and you can go about your daily life but on full pay and they can do nothing about it.

The police have absolutely taken the piss for the last 2 years with their expectations and woke bullshit that we have started taking the piss right back.

Blondeshavemorefun · 16/12/2025 11:38

Why don’t you apply to the same position in the NHS ?

I’m sure you were paid better than NHS.

But as always, if not happy about something, do something about it.

Whyhaveibeencutoutofmamsnot · 16/12/2025 11:38

olympicsrock · 15/12/2025 23:14

Have a look at NHS terms and conditions . Definitely not 8 weeks . It’s 30 days usually .

The 8 weeks is because it includes bank holidays which some years will be ten days. NHS staff work bank holidays and if you work part time it gets really complicated. The only time I got a decent break at Christmas was during mat leave.
I struggled to get time off for funerals. Holidays have to be booked months in advance and weekends had to be swapped with a suitable person and approved.
There are some people who swing the lead with sick leave.

Daygloboo · 16/12/2025 11:46

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.

Quite. Well put.

Daygloboo · 16/12/2025 11:50

Imdunfer · 16/12/2025 11:23

NHS employees are all taxpayers.

Not in the sense that they contribute anything to total tax revenue. The tax public sector employees pay was taken from private sector taxation and put in their pay so they could give it back again.

It's only an accounting wrinkle so they can treat public and private sector pay the same.

A nurse or teacher who has no other income is not paying one penny towards the cost of running the state.

There's nothing wrong with that, before anyone jumps on it. But it is a fact.

Edited

Let's be clear. Private sector health care absolutely fleeces people. They arent some benevolent sector that's had their money unfairly taken off them.. Come on. Be real.

Jenpen31 · 16/12/2025 11:54

Anyone who has suffered a miscarriage will know the devastation this causes and can take time to recover from, both physically and mentally. Surely you dont begrudge a mother this time to recover.
An "elderly" parent is still a parent, no matter their age or the circumstances surrounding their death. Compassionate leave would be given initially which is just a few days, after that a sick note would be required.
As previous posters have stated extra holidays are given for long years of service to the NHS.
I dont begrudge these people anything. It's a difficult and stressful job and they deserve the perks they get.

Isekaied · 16/12/2025 12:11

flashria · 15/12/2025 23:34

I work for the NHS; newly in from private sector. My experience is that basically everyone is pretty much always off. Sick leave, part-time working, flexible working, reasonable adjustments, maternity leave, carers' leave, dependents' leave, compassionate leave, annual leave, bank hols. It's astonishing and culminates in being rarely able to get a swift efficient response from anyone. OF COURSE I do not mean that people shouldn't have holidays or be off when they're ill, but my goodness all of that entitlement adds up essentially to a licence never to be in.

We are humans not work horses.
The days of people leaving everything behind and working till they drop for their employer are gone.

People get sick. They have life issues. Sometimes they have reasons why they cant work full time. Or might need to start later etc etc

I mean I see posts all the time about people working from home. Statying a but later and how productive they are.

The NHS is just moving with the times.

By offering certain perks, because the pay is certainly not competitive.

And obviously applying to work with the NHS is open to anyone who has the necessary qualifications. So nothings stopping any of you who think they've got it so easy from applying.

Imdunfer · 16/12/2025 12:13

EyeLevelStick · 16/12/2025 11:29

They are taxpayers though.

And the people bleating about their taxes paying for the public sector are probably paying a similar amount in taxes to those public sector workers they are complaining about.

They are not paying one penny towards running the country. The money they pay in tax was put in their pay packet by another taxpayer, there is no additional tax.

This is not a problem but it is a fact.

Imdunfer · 16/12/2025 12:14

Daygloboo · 16/12/2025 11:50

Let's be clear. Private sector health care absolutely fleeces people. They arent some benevolent sector that's had their money unfairly taken off them.. Come on. Be real.

Sorry, I don't understand the relevance of this answer to the post of mine that you quoted?

1457bloom · 16/12/2025 12:15

Isekaied · 16/12/2025 12:11

We are humans not work horses.
The days of people leaving everything behind and working till they drop for their employer are gone.

People get sick. They have life issues. Sometimes they have reasons why they cant work full time. Or might need to start later etc etc

I mean I see posts all the time about people working from home. Statying a but later and how productive they are.

The NHS is just moving with the times.

By offering certain perks, because the pay is certainly not competitive.

And obviously applying to work with the NHS is open to anyone who has the necessary qualifications. So nothings stopping any of you who think they've got it so easy from applying.

Most NHS staff would not last one week in the private sector.

princesspadam · 16/12/2025 12:37

My NHS pension is pants, the days of the old final salary pension is long gone. It costs me £400pm in contributions.
i have zero hope of retiring early.

Plaguedbyulcers · 16/12/2025 12:41

I regularly work 50 hours a week in my NHS job when I'm only paid for 37.5 hours. Sometimes I've had to take annual leave so I can have a day of not being bothered by "new" tasks so I can complete outstanding work in peace.

There are thousands of NHS jobs available right now, so if anyone who thinks the so called perks are so amazing then please apply and join!

Bearnie · 16/12/2025 12:44

princesspadam · 16/12/2025 12:37

My NHS pension is pants, the days of the old final salary pension is long gone. It costs me £400pm in contributions.
i have zero hope of retiring early.

But your employer puts more than 3% in and you have a guaranteed income, no matter how small when you retire. Compare with DC pension workers and you’ll make yourself feel much better.
Does the NHS really have a recruitment crisis? I thought we had doctors / nurses / midwifes leaving training with no jobs to go to? Is the crisis not in funding additional roles? Ie that the government refuses to increase the number of GPs nurses etc they’ll fund? And we need to close places to overseas applicants until all half decent UK applicants have a job. There no point paying an overseas nurse to nurse while at the same time funding unemployment benefit for a UK nurse.

randomchap · 16/12/2025 12:51

1457bloom · 16/12/2025 12:15

Most NHS staff would not last one week in the private sector.

Again with the hyperbole

Can't you discuss things sensibly?

1457bloom · 16/12/2025 12:58

randomchap · 16/12/2025 12:51

Again with the hyperbole

Can't you discuss things sensibly?

No need to be so defensive.

randomchap · 16/12/2025 13:01

1457bloom · 16/12/2025 12:58

No need to be so defensive.

No need for ridiculous hyperbole

BarkItOff · 16/12/2025 13:08

Some people are listing leave that’s a legal right in any job as though it is NHS specific and it’s not.

Maternity leave - a legal requirement and available in any job.

Carers leave - a legal requirement and available in any job. Unpaid in the NHS.

Dependants leave - a legal requirement and available in any job. Unpaid in the NHS.

Compassionate / bereavement leave - 6 days maximum paid and only for parents, partner and children. Can’t have leave for grandparents or siblings funerals unless you use annual leave or take it unpaid.

Sick leave - Looks generous at 6 months full pay but in reality if you have more than 2 absences in 6 months or more than 8 days absence in 6 months you go in an action plan to improve sickness and can’t be off sick at all for 6 months or it goes up a stage and can eventually lead to you being fired. So it’s not exactly something that you can use unless you are seriously unwell.

Annual leave - 33 days plus bank holidays. Only a few days more than the legal minimum requirement and that’s a reward for over 5 years service. Restricted as to when you can take it. I’m not allowed to take any leave in December or September and only allowed 2 weeks during the summer June - August.

princesspadam · 16/12/2025 13:10

Also there is no paid time off for appointments, you take it out of your annual leave