How much should I be paid?

[forgivemefatherihavesinned]

Been with my current family for 1 1/2 years in South London. When I took the job it was agreed I would be paid £400 a week. since then the youngest ( 10 months) has been diagnosed with a condition that means he needs instense physiotherapy, so I am being trained up for it. This means an increased amount of duties. How much should I be paid for a specialist nanny job? Thanks

Some nannies are trained nurses so are paid a lot to care for a child with additional needs.

You could certainly ask for a review - your job is changing and you have been there a while. However the parents may not be able to afford more, their costs may be increasing due to the medical condition.

Inflation is around 2.5-2.7% and you have extra duties, so maybe 5% might be considered. Ask and see.

Inflation is around 2.5-2.7%

but wages are stagnating. I work for the NHS and my pay has increased by 6-8% in the last 12 years. If your charge has a new diagnosis, one or both parents may have had to drop work hours so have less money coming in. I'm not sure you are a "specialist nanny". I'd say you need a discussion with your employer, but if they aren't offering a big rise you need to decide if you're going to stay or go. they may well not be able to afford more.

I assume they're paying for your course and for your time doing whatever training it is.

Tbh it wouldn't occur to me to pay our nanny more in those circumstances. You are already being paid for your time looking after this child. If you're doing physio instead of messy play or whatever how does that actually make your job harder?

Obv you can ask for a review but I'm not sure you should expect a rise just because you're helping with physio. Also remember this must be a stressful time for the parents and there's a risk you'll damage the relationship with them if they think you are taking advantage of their child's medical condition or seeing it in financial terms.