The government has announced a 2025–26 pay award of 4% plus a consolidated £750 for resident doctors in England.
This represents a pay uplift for resident doctors of between 5% for an ST8 and 6% for an F1. RPI inflation was 4.5% in April.
In the interests of retention, recruitment and the future of NHS care, HCSA is consulting resident doctors in England on industrial action over pay.
Resident doctors are not worth less than our colleagues were in 2008, and this award offers no road map towards reversing years of real-terms wage cuts.
This smacks of complacency from the government – and with the NHS struggling to attract and retain talented staff, the government cannot afford to be complacent. We need to see a credible pathway to full pay restoration.
HCSA’s consultation will close at 12:00 on 25th June.
The award sees pay uplifts ranging from 5.06% for an ST8 to 6.05% for an F1.
|
Nodal point
|
Grade
|
Current pay (£)
|
Pay after award (£)
|
Difference (%)
|
|
1
|
F1
|
36,616
|
38,830.64
|
6.05
|
|
2
|
F2
|
42,008
|
44,438.32
|
5.79
|
|
3
|
CT1–CT2
|
49,909
|
52,655.36
|
5.50
|
|
4
|
CT3–4
|
61,825
|
65,048.00
|
5.21
|
|
3
|
ST1–2
|
49,909
|
52,655.36
|
5.50
|
|
4
|
ST3–5
|
61,825
|
65,048.00
|
5.21
|
|
5
|
ST6–8
|
70,425
|
73,992.00
|
5.06
|
Members can estimate the difference in their monthly take-home pay following the award. The following estimates are made using base pay only, meaning a 40-hour working week with no enhanced hours. They assume a standard tax code of 1257L, that the doctor contributes to the NHS Pension scheme and that the doctor is repaying a student loan through Plan 2. Numbers will differ for those members on student loan repayment Plan 1.
| Nodal point |
Grade |
Current monthly gross pay (base pay, £) |
Current pension contribution (£) |
Estimated monthly take-home (base pay, £) |
Monthly gross pay after award (base pay, £) |
New pension contribution (£) |
Estimated monthly take-home after award (base pay, £) |
Estimated monthly increase after tax (£) |
| 1 |
FY1 |
3051 |
299 |
2190 |
3236 |
317 |
2293 |
103 |
| 2 |
FY2 |
3501 |
343 |
2438 |
3703 |
363 |
2550 |
112 |
| 3 |
CT1–CT2 |
4159 |
408 |
2801 |
4388 |
470 |
2908 |
107 |
| 3 |
ST1–ST2 |
4159 |
408 |
2801 |
4388 |
470 |
2908 |
107 |
| 4 |
ST3–5 |
5152 |
551 |
3287 |
5421 |
678 |
3343 |
56 |
| 5 |
ST6–8 |
5869 |
734 |
3529 |
6166 |
771 |
3652 |
123 |
*All take-home estimates generated using The Salary Calculator.
The consultation is open now and will close at 12:00 on Wednesday 25th June. It is taking place online.
All eligible members employed by the NHS in England have received a link to vote in the digital consultation. If you cannot locate your link or have any difficulties casting your vote, please contact conspec@hcsa.com.
You are being asked two questions: whether you are prepared to take strike action and whether you are prepared to take industrial action short of strike.
This is not a formal ballot for industrial action. It is a consultative vote by HCSA members to democratically decide our union’s next steps.
Should members indicate that they are prepared to strike and/or take action short of strike, your National Executive Committee will consider a formal ballot for industrial action. Such a ballot would be conducted by post, in accordance with trade union law.
Industrial action short of strike, sometimes called ASOS, could consist of working to rule, refusal to perform certain tasks, refusal of goodwill, deliberately going slow, a call-out ban and/or, when clinical circumstances permit, prioritising educational work over clinical work.
Should members indicate that they are prepared to strike and/or take action short of strike, your National Executive Committee will consider a formal ballot for industrial action. Such a ballot would be conducted by post, in accordance with trade union law.
Should members indicate that they are not prepared to strike or take action short of strike, HCSA will continue to engage through all available channels to press the case to restore resident doctors’ pay.
Join HCSA today to take part in this consultation on industrial action.
We encourage you to do so as soon as possible so you can be included in relevant communications.