Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, if he will ringfence funding for general practice nursing pay in line with the NHS Agenda for Change.

As self-employed contractors to the National Health Service, it is up to general practices (GPs) how they distribute pay and benefits to their staff. Funding for GP nursing pay is not ringfenced and contractual arrangements do not place any specific obligations on GPs with regard to GP nurse terms and conditions.

The Government looks to the independent pay review bodies for a pay recommendation for NHS staff, including both contractor and salaried GPs. They consider a range of evidence from organisations including the Government, the NHS, and trade unions to reach their recommendations.

The independent review body on Doctors’ and Dentists’ Remuneration (DDRB) has recommended an uplift of 4% to the pay ranges for salaried GPs, and to GP contractor pay for 2025/26. We have provided an increase to core funding for practices to allow this 4% pay uplift to be passed on to salaried and contractor GPs. The additional funding is also intended to provide uplifts for other salaried GP staff, including nurses.

We expect GP contractors to implement pay rises to other practice staff in line with the uplift in funding they have received.

The Government has committed to a new substantive GP Contract within this Parliament, and we will continue to engage constructively with the General Practitioners Committee England on issues such as staffing.

The maximum reimbursable amounts for roles employed through the Additional Roles Reimbursement Scheme (ARRS), including practice nurses, have also been uplifted in line with the NHS Pay Review Body’s recommendations, and ARRS budgets have been increased to reflect this.