Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, with reference to his NHS Pay Review Body remit letter: 2026 to 2027, what the expected annual financial impact is of changes to the implementation of the NHS Job Evaluation Scheme.

This specific assessment has not been made. No recent changes have been made to the Job Evaluation Scheme (JES) itself. Some job profiles have been updated to be assessed against locally.

Following a national review by the Job Evaluation Group, the updated nursing and midwifery national profiles were republished by the NHS Staff Council on 3 June 2025. These changes did not change implementation of the JES or banding outcomes. During the evidence collection process for the nursing and midwifery national profile review, we were made aware that job documentation was often outdated, leading to concerns about pay banding outcomes through inconsistent local application of the JES.

Any financial impact will largely depend on current local job evaluation practices and subsequent application of the revised profiles. The NHS England letter titled Agenda for Change non-pay deal recommendations – NHS job evaluation, dated 3 June 2025, was clear with employers that where there is out of date practice, they are accountable for correctly implementing the scheme and must ensure that all changes are implemented effectively within existing budget constraints.