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The newly negotiated agreement grants a 16% pay increase for registered nurses and midwives, an 18% boost for enrolled nurses, and a substantial 28% raise for nursing and midwifery assistants over the span of three years.
In its explanation, the commission highlighted that “traditionally, the value of work in industries dominated by women, like nursing, has been underestimated.”
“This is due to a variety of reasons, but one significant factor is the belief that women possess an innate ability for caring or interpersonal tasks, which resulted in these skills being overlooked and undervalued,” the commission explained.
The commission also noted that salaries have failed to keep pace with inflation and the rising cost of living in recent times.
However, it determined that any salary increase would necessitate being “financed through debt” by the New South Wales government.
“For every one per cent increase in pay, the NSW government needs to fund an additional $74.5 million per year.
“These additional costs reduce the NSW government’s capacity to do other things, including fund infrastructure and provide services.”
It said those factors were relevant to the outcome but “not barriers to appropriate increases”.
The NSW Nurses and Midwives Association (NSWNMA) went to the commission with the NSW government last year after pay negotiations stalled.
General Secretary Michael Whaites said the decision was “historic” but didn’t go far enough.
”Today’s announcement gives a record-breaking pay deal for nurses and midwives in New South Wales. Yet for registered nurses and midwives it is not enough to fix the structural reform that we need in this state,” Whaites said.
“Registered nurses and midwives are the backbone of this workforce.
“They are the majority of this workforce, and we had hoped for a better outcome for them.
“For enrolled nurses and assistants in nursing and midwifery, this is a great outcome.
“It recognises the undervaluation of the work that they do and gives them the recognition they rightly deserve.”
But he said the decision had weighed the value of nurses and midwives against the state of the NSW economy.
“Throughout our campaign, we had politician after politician saying that they know nurses and midwives are worth more, we just can’t afford it and yet, here again today we hear that registered nurses and midwives should be paid more, but we just can’t afford it.
“This is an outcome that says that women’s work has to remain undervalued because of the economy – that’s an appalling position for us to be in in 2026.
“We will continue to campaign for our registered nurses and midwives to make sure they’re valued for the work they do.”
The Minns government said it welcomed the decision.
“Nurses and midwives are the beating heart of our health workforce and while we acknowledge this was a hard-fought dispute, we believe it is a fair outcome,” Treasurer Daniel Mookhey said.
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