Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made, if any, of the benefits of moving to a system of local pay bargaining within the NHS, whilst preserving a national pension scheme.

The independent Pay Review Body process is the established mechanism for determining pay increases in the public sector, including for National Health Service staff, outside of negotiating pay and contract reform deals. Terms and conditions for NHS staff are agreed nationally through collective agreements with trade unions. The Department is represented on the NHS Staff Council for Agenda for Change staff and at the Joint Negotiating Committees for medical staff.

Flexibility exists within the national terms and conditions for employers to use local recruitment and retention premia. We understand that these flexibilities are seldom used by employers locally due the administrative process, complying with legislation on equal pay and the risk of exacerbating recruitment, retention and pay issues with neighbouring trusts and within the local labour market.