A survey of Royal College of Nursing members showed 91% did not think the 3.6% pay increase this year was enough. The RCN warned there was widespread dissatisfaction with the NHS contract, known as Agenda for Change. Nurses begin on band five, with a starting salary of just over 31,000, after this year's pay rise. Nearly half of nurses are on this bottom band and research shows many struggle to move on from it.
"I'm basically starting over - that's the part that bothers me," said Francis, who's in her 50s and based in the Northeast US. "But I have to do what I have to do to survive."
Niamh O'Shea coordinates patient care and manages junior staff while doing the role of a clinical nurse manager 2, yet lacks the corresponding title and salary.
When other moms there learned about Holbert and her husband Jacob Wallace, who had no family in New York City, they offered them a place to stay, dinners, gift cards and new clothes.