Figure 1: Overview of responsibilities for recruitment and retention premia


Published: 01/06/2022


The Pay Review Bodies present recommendations to the English and Welsh parliaments and the Northern Irish assembly. Government can apply national premia at any point, which can be made outside of the annual pay review body process. Although NHS employing organisations have the employment freedom to use local pay flexibilities, trade unions and NHS employing organisations can seek a mandate from government to change existing premia terms and conditions, which they often do through negotiating contracts at a national level.