Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what consideration his department has made of the potential merits of providing parity in pay and conditions between primary care nursing staff and their Agenda for Change colleagues in the NHS.

The Government is committed to ensuring the general practice nursing workforce is sustainable, supported and valued for the work they do.

The Government looks to the independent pay review bodies for a pay recommendation for National Health Service staff, including both contractor and salaried general practitioners (GPs). They consider a range of evidence from organisations including the Government, the NHS and trade unions to reach their recommendations.

The independent review body on Doctors’ and Dentists’ Remuneration (DDRB) recommended an uplift of 4% to the pay ranges for salaried GPs, and to GP contractor pay. As with the previous year, we accepted the DDRB’s pay recommendation. We provided an increase to core funding for practices to allow this 4% pay uplift, on top of the provisional 2.8% uplift already provided, to be passed on to salaried and contractor GPs. The additional funding also allows for pay uplifts for other salaried general practice staff, including nurses. We expect GP contractors to implement pay rises to other practice staff in line with the uplift in funding they have received.

As self-employed contractors to the NHS, it is up to general practices how they distribute pay and benefits to general practice nurses and other staff. General practice contractual arrangements do not place any specific obligations on practices regarding general practice nurse terms and conditions.

We are investing an additional £1.1 billion in general practice to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.4 billion in 2025/26, representing the biggest cash increase in over a decade. The 8.9% boost to the GP contract in 2025/26 is greater than the 5.8% growth to the NHS budget overall.