Thousands of workers contracted by the NHS may miss out on the just lately negotiated pay rise that multiple million well being staff will begin to obtain right now - regardless of working below the identical phrases and circumstances.
Staff working for social enterprises contracted to work in major care, psychological well being, charities and different well being sectors are usually not but eligible for the pay rise that might see some nurses' salaries go up by greater than £2,750 over two years.
Eligible workers, together with nurses, paramedics, 999 name handlers, midwives, safety guards and cleaners, will obtain the pay rise, backdated to April.
They may also obtain a one-off "NHS backlog bonus" which the well being secretary says "recognises the sustained pressure facing the NHS following the pandemic" and the "extraordinary effort" of workers to assist reduce ready lists.
But social enterprise leaders argue NHS contracted workers - who work below the identical phrases and circumstances as these on the Agenda for Change deal - have performed an equally important function that has not been recognised with a pay rise.
The Department of Health and Social Care (DHSC), nonetheless, just isn't offering the funding to pay them the rise.
Peter Holbrook CBE, chief government of Social Enterprise UK, stated: "Social enterprises are a crucial part of the NHS family, delivering over a billion pounds of services and employing many thousands of staff while reinvesting any profits in communities.
"Health Secretary Steve Barclay just lately stated that he would implement the NHS pay deal for all workers on Agenda for Change - however he has but to provide you with the cash, placing these organisations and their workers in an unimaginable place.
"Social enterprises work by reinvesting any income into the neighborhood, so the businesses who make use of the workers do not need cash in reserve to cowl the prices of the brand new pay deal themselves.
"We still expect the department to take urgent steps to solve this - as they did previously in 2018 - before staff, services and patients are adversely affected."
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Some well being leaders are warning of a "two tier system" except all well being workers are recognised pretty.
Matthew Taylor, chief government of the NHS Confederation, stated: "While the 2023 pay uplift has been welcomed and may with help with retention issues, it must be fully funded for all staff.
"The NHS is extra than simply hospitals, consisting of a spread of significant providers sufferers depend on together with psychological well being care, major care, district nurses and therapists, all of that are contracted not directly.
"The present association for central funding would possibly see workers at these providers miss out and dangers the creation of an inequitable, two-tier system for various workers.
"Providers are currently facing the unenviable choice between finding additional savings - likely through cuts to services - to fund the rise, or not implement the raise and risk staff leaving, leaving patients worse off.
"A similar oversight was made with the pay rise in 2018, however the authorities ultimately solved this by agreeing to cowl it by way of central budgets.
"We urge the government to review its position and agree to fund the pay award for all staff on AfC terms and conditions, including those on local authority contracts."
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The DHSC instructed Sky News: "All eligible Agenda for Change staff will receive the 23/24 consolidated pay award."
A spokesperson added: "NHS funding to social enterprises, community interest companies, charities and other similar services will be uplifted through their usual funding routes."
There was no additional clarification if this included social enterprise workers contracted to work for the NHS.
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