The NHS needs you – and it has to work harder than ever to keep you

The number of employers in the NHS paying extra to attract or retain staff in England is falling.

Recruitment and retention incentives are a key part of Agenda for Change (AfC) pay contract, yet the NHS Pay Review Body (RB) says its use is either ‘static or diminishing’.

Picture credit: Daniel Mitchell

The RB, which this month published its recommendation for a 1% pay rise, attributed this drop-off not to diminishing need but to the necessity of making cuts.

In its 2016 report, the RB stated: ‘There is a fear of introducing payments that will be difficult to remove and of the potential impact on neighbouring trusts and health boards of staff moving from one to another.’

However, there is evidence that NHS organisations are using other local incentives to attract and retain staff, including relocation packages, ‘golden hellos’ and paying for training and development.

According to NHS Employers’ survey findings submitted to the RB, 99% of organisations have taken some form of local


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