nhs payslip explained 2021

ST4s are at nodal point 4 - the basic salary for a full-time trainee at nodal point 4 is 49,036. Staff at the top of their pay bands would have had a smaller pay increase. It was initially recommended, by the Department for Health and Social Care (DHSC), that pay should rise by just 1% for 2021-22. If you are employed by NHS Greater Glasgow and Clyde, your payslips will now be electronic through the ePayroll system. This sum is not taken into account in the calculation of any other allowances or enhancements. endstream endobj 21 0 obj <> endobj 22 0 obj <>/ProcSet[/PDF/Text/ImageB]/XObject<>>>/Rotate 0/Type/Page>> endobj 23 0 obj <>stream For easy viewing, we have broken down the payslip into 4 parts. Company Number 11666104. ePayslips.If you are employed by NHS Greater Glasgow and Clyde, your payslips will now be electronic through the ePayroll system. WebUnderstand your payslip and how your salary is calculated. Hawara: 'What happened was horrific and barbaric'. 12 March 2021 The NHS Staff Council has agreed a framework to enable NHS employers in England to resolve issues in relation to the correct calculation of pay What claims do you want BBC Reality Check to investigate? Once you are placed on Glasgow payroll you will receive a secure envelope detailing your user name and password. Webkatherine noelle wyman; cape breton post obituaries 2022. location symbol text in word; list of female jockeys australia; mike conley house columbus ohio address Payroll Email. <> WebEXAMPLE PAYSLIP Explanation of allowances on payslip Add Basic Pay = Total number of hours worked on duty (regardless if worked on a weekday, weekend or This is your contracted hours per month x hourly rate (depending on your pay scale rate). Less than full-time endstream endobj startxref Divide this figure by 40 (because 40 is the number of hours which a full-time week is based on). Your amount of contribution will be based on your salary. Take a look below to see how much enhancement you will get for each shift. However, the government now says: "The economy is actually doing better than we anticipated four months ago". Read articles, interviews and comment from the BMA's award-winning magazine. It's been few days since you have seen your latest payslip. Webnhs payslip explained ePayslips is a trading style of Sweep Limited, a company incorporated in England & Wales. Webyour local payroll department to correct this then check with Human Resources to see if your transfer certificate from your previous employer has come through if not then you can use previous payslips as evidence of your correct incremental date and pay point. This is your weekend allowance per annum; divide it by 12 for the monthly amount. After all, those hours worked are hard earned and you deserve to be rewarded with the right compensation. In the UK, employees are paid per hour for the hours that they have worked in a month. Your basic pay will be 1/40th of the relevant nodal point, multiplied by your average weekly hours, as per your work schedule. 4 0 obj Now, different categories of unsocial hours are paid differently. These apply for staff whose work in standard hours, within the normal 37.5 hour working week (section 10), is undertaken at the times, and on the days, specified in the national agreement and shown in the table below. This will help to create a culture based upon continuous learning which in turn will help improve the patient experience. Find the London weighting sum for full-time trainees in the. For new starters with 24,907 income, 7.1% of your salary will be deducted. Find the percentage value of your LTFT commitment to the full-time on-call rota. View the latest press releases from our England, Northern Ireland, Scotland and Wales media teams. VideoAt the crash site of 'no hope' - BBC reporter in Greece, Dozens of girls treated after new Iran poisonings, Blackpink lead top stars back on the road in Asia, Exploring the rigging claims in Nigeria's elections, 'Wales is in England' gaffe sparks TikToker's trip, Ukraine war casts shadow over India's G20 ambitions, Record numbers of guide dog volunteers after BBC story. A fixed sum, set out in the NHSE pay circular, paid pro-rata to LTFT trainees according to your agreed LTFT working percentage. For instance, if she worked 10 hours overtime the computation will be like this and will be then added to her gross pay. Webyour local payroll department to correct this then check with Human Resources to see if your transfer certificate from your previous employer has come through if not then you can use previous payslips as evidence of your correct incremental date and pay point. stream This figure continues to increase month-on-month as more NHS employees opt to use online payslips. Specialty and associate staff doctors' pay scales, Refugees, overseas visitors and vulnerable migrants, weekend and on-call allowance ready reckoner, has a rota which places full-time trainees on one in four on-call, has an LTFT on-call commitment of one in seven, is on a work schedule where total full-time hours are 45 hours per week, has a rota which places full-time trainees on 1 in 5 weekends, has a LTFT weekend commitment of one in nine. You will be automatically enrolled in the NHS pension scheme as you start your employment to the Trust. This sort of reward for working out of hours can make you earn extra money apart from overtime and bank shifts which we will be. Staff who took up new jobs or promotions on or after 1 April 2019 have been covered by these arrangements since that date. NHS Nurse worked 23 hours night duty and 39 hours Saturday. Occupation code: 2211. WebYour payslips can be used as proof of your earnings, tax paid and any pension contributions. Some Trust overtime rate is time and a half of the hourly rate. %PDF-1.7 Employers are responsible for calculating this following the guidelines from HM Revenue and Customs (HMRC). Effective use of appraisals will enable trusts to identify those staff that would benefit from further development opportunities. Tax and NI Information - take note of these figures as you need these if you need to contact HMRC or tax office for any reason. BMA guidance Declaring GP earnings over 150,000 Eligible GPs will need to declare any NHS earnings over the threshold annually. In this payslip, NHS nurse's tax code is 1283L which means 12,830 of her salary will not be taxed. In addition, you agreed upon a monthly gross housing allowance of 1.200 euros, leading to a total gross salary of 9.700 euros per month. Salary for a point 1 Band 5 normally starts at 25,655 per year and will increase annually provided you have completed your annual appraisal. If you received payment on Friday 26th July 2019 you may have received a paper payslip to the address registered with NHS Professionals. WebThis guidance aims to dispel confusion around competition law and the NHS to help locum GP doctors share information about their rates. Helping the NHS to save money and enhance quality so that the NHS can improve health, innovate to save lives and deliver better outcomes with care and compassion. But still consider the fact that you will still get decent enhancement for night shifts and Saturday shifts. Once you've passed the OSCE and NMC has granted your PIN, you can start to work and be paid as a Band 5. Hence, she contributes 9.3% of her salary. It also said anything more than 1% would require "reprioritisation" of the NHS budget. Any flexible pay premia that apply to you, pro rata to your agreed proportion of full-time work. WebPayslip and Payroll FAQs Understanding Your Payslip. As we scrutinise how we are being paid in the NHS, working Sundays and bank holidays provide twice as much enhancement than nights and Saturdays. I decreased my hours/ changed my role to a lower banding in a previous month and was expecting my salary to have been less in September. 1,275 views Mar 3, 2022 This week we are showing you what you can expect to see more. NHS is well-known for having a comprehensive and generous pension scheme as part of its recruitment and retention strategy. has not changed then, please contact your line manager who will be able Pay award for specialty doctors and specialists on the 2021 contract. HUMoA?_+E PQU@jAj9 =4VHY>?=SMc\rJP-ft>"E};`+. 3. WebThese have been designed to ensure the required yield of 9.8% average member contribution is met while protecting the affordability of the scheme for the whole NHS workforce. WebPension details will added to your NHS Pension record. No action is required, I am on maternity leave and have not received my 3% pay rise. All LTFT trainees are entitled to an annual allowance of 1,000. This allowance is to recognise the relative increased costs of training that LTFT trainees face as a result of being less than full-time. Video, At the crash site of 'no hope' - BBC reporter in Greece, Record numbers of guide dog volunteers after BBC story. Health and Social Care Levy payslip message confirmed Health and Social Care Levy payslip message confirmed 17 November 2021 In an email to software developers, HM Revenue and Customs (HMRC) has confirmed the wording for the payslip message to be included from April 2022. Work out what your weekend frequency is as a percentage of the full timers frequency. This document details the amendments made to the terms and conditions of service for NHS doctors and dentists in training (England) 2016. Step 3: Remit payroll taxes. After signing in to the portal, you can have access to all your payslips by selecting the View My Payslip option within the My payslip and P60 portlet. You can even view your NHS payslip via the ESR navigator by following the below-given steps. Firstly, you need to login into your NHS account with relevant information. has not changed then, please contact your line manager who will be able to let you know when the information was provided to payroll. The UK is well known for collecting high tax rates and high cost of living. Nurses are just one part of the NHS workforce and the pay agreement implemented in 2018-19 affected different staff members in different ways. According to NHS Employers.org, the employers contribution rate changed from 14.38% to 20.68% from 1 April 2019. This is her personal tax allowance. This recommendation is non-binding - meaning ultimately the government decides. Any arrears you were expecting to receive should be paid in October. Learn more about being a BMA member today. This is topped up by employer contributions. The Bank of England expects the economy to grow by 7.25%, which would be the fastest growth in more than 70 years. Download and share the resources below for more information. 46 0 obj <>stream Understanding your pension scheme. It was initially recommended, by the Department for Health and Social Care (DHSC), that pay should rise by just 1% for 2021-22. The DHSC cited the "uncertain" financial situation and low inflation. It also said anything more than 1% would require "reprioritisation" of the NHS budget. HWMoFW z? 8>@6D*_%K/2v{3o? Enough of the boring bits. This is the National Insurance. Following the vaccine programme and the reopening of businesses, they now expect the UK economy to grow by 5.3% this year. The NHS portal provides you with a 24x7 online facility where the employees can view their payrolls and can fetch information related to their work. This is your London weighting per annum; divide it by 12 for the monthly amount. Overtime and Bank shifts are helpful to gain extra income but just be mindful that doing so many hours extra may cost you more tax. This is done by dividing the total number of weekends in the full-time commitment by the total number of weekends in the LTFT commitment. I hope this article provided a deeper insight on how you view your payslip and better understanding on how you should be paid. Contribution rates can be found here. Maddy-Ruth is a 60% LTFT ST4 in psychiatry, Multiply this percentage by the cash value of the weekend allowance given to a full-time trainee on the rota who is at your nodal pay point (see, The 2016 TCS (terms and conditions of service), BMA: the specialty trainees safety net. 20 0 obj <> endobj The pay enhancement is the fixed percentage of the number of hours worked outside the standard working times. She is already on top tier Band 5 pay scale and working 31 hours a week. P60s are distributed in a phased approach and typically will be received by the end of May. That's why I asked. Lets dive in with the salary dissection. this indicates your full salary according to which point you are in the pay scale, shows the date that you will get your annual salary increase until you reached the maximum point, the number of hours youre contracted to work (37.5 for full time). 2 0 obj I left my employer after the 3% pay rise was announced, but before I received it. Our sample junior doctor payslip explains all the different elements of pay that you might receive. This guidance is designed to help organisations understand and implement the pay progression system. 7 0 obj <> endobj 39 0 obj <>/Filter/FlateDecode/ID[<3B564F0D3217422388B64B3880DD0118>]/Index[7 45]/Info 6 0 R/Length 144/Prev 332304/Root 8 0 R/Size 52/Type/XRef/W[1 3 1]>>stream If you require additional help to understanding your payslip, then please take a look at the guidance below which Business Continuity and Resilience Management. Read about our approach to external linking. How can I be sure payroll knows about my change in contract(hours, job role, new allowance etc.)? First eight digits of your employee number; If you have more than one post, it will be indicated with -2 -3 and so on. If we do not take radical action to become a flexible and modern employer in line with other sectors, we will continue to lose people entirely or see participation rates decline. NHS People Plan, 2020. 3 0 obj This is value A. Doctors Direct is wholly owned by the Department of Health; and is a leading provider of locum services to the NHS. WebThe Electronic Staff Record (ESR) will work with NHS employers to provide guidance on the types of payment that should be included within the descriptions of overtime in payroll systems.5. -]BG p, MySBSPay is both accessible and flexible, enabling NHS employees to view, interrogate and download their payslips quickly and easily on the go, and raise and track pay related queries via a secure biometric log-on. Working Together: Collaborative Approaches for Healthcare Staffing, Workforce Alliance Brochure for Non Clinical Temporary and Fixed Term Staff Framework, To become a modern and model employer, we must build on the flexible working changes that are emerging through Covid-19. 11. For almost 200 years, we have been supporting doctors from tuition to physician and beyond. On 9 March, the head of NHS England, Sir Simon Stevens, told a committee of MPs that the health service's long-term plan - published in 2019 - had assumed a 2.1% increase this year. Unsocial hours payments are additions to basic pay. Am I paying the correct rate of pension on my 3% pay rise? The amount that will be deducted is based on your tax code. EXAMPLE PAYSLIP EXAMPLE PAYSLIP Explanation of allowances on payslip Add Basic Pay = Total number of hours worked on duty (regardless if worked on a weekday, weekend or during unsocial hours, enhancements will be paid separately for unsocial periods) payable at your basic hourly rate. This follows a one-off Covid payment for health and social care staff of 500. endobj Then your weekend payment will be this percentage of the cash value of the full-time weekend frequency payment for your nodal point. What should I do if I haven't received my 3% pay rise this month? 2. Owned & Managed by James Court Creative Solutions. WebIn September 2021 approximately 280,000 employees received paper payslips across the NHS, the majority of which will be filed away until they are needed for proof of earnings, and yet online payslips are available via the Electronic Staff Record solution to all NHS employees with an ESR record. Staff in post before 1 April 2019 will retain their existing pay step date (previously referred to as incremental date) and move automatically through their pay journey during transition. Agenda for Change, implemented on 01 October 2004, represents a major reform of pay and other terms and conditions for all NHS staff with the exception of Medical and Dental Staff and some Senior Managers. NHS Professionals Ltd, Suites 1A & 1B, Breakspear Park, Breakspear Way, Hemel Hempstead, HP2 4TZ, Registered in England & Wales no. NHS staff in England will be given a 3% pay rise backdated to April. take note of these figures as you need these if you need to contact HMRC or tax office for any reason. WebTelephone: 0300 200 3300. Some NHS Trusts especially in London give better rates for bank shifts but will still be Trust dependent. WebHow can I be sure payroll knows about my change in contract (hours, job role, new allowance etc.)? It is the first significant reform of NHS pay since the Health Service was established in 1948. The system is underpinned by local appraisal policies that deliver the mandatory annual appraisal process. <>/OutputIntents[<>] /Metadata 582 0 R/ViewerPreferences 583 0 R>> WebAny arrears you were expecting to receive should be paid in October. WebPayroll and expenses Our payroll service operates on a shared service basis with National Services Scotland (NSS) and together we are responsible for ensuring you are paid correctly each month. I4nP8;tBiK2A;~ C9(ky>!n 6L@Y:#,# 0:. Of course most occupational physicians will be employed outside the NHS and the BMA recommends that salaries are negotiated based on typical salary ranges for full-time hospital doctors working in the NHS (5). Anatomy of NHS payslip -- How much do UK Registered Nurses (RGN) get paid? vbC-yVhO4j1Wtt. Night shift (any weekday from 8pm to 6am), - 30% of the hours youve worked within these hours of the night, - 30% of the hours youve worked Saturday, Bank Holiday and Sundays (midnight to midnight), - 60% of the hours youve worked on Bank Holiday or Sunday, (unsocial hrs to be paid) --- 6.60 hrs x15.39 (hourly rate) = 101.64. Employers can choose whether they provide printed or electronic (online) payslips. hbbd```b``:"m00"YH >&"`+@${ For each pay period, the company calculates each employees gross wages and deductions, such as tax withholding, health insurance and/or retirement plan contributions. The adjustment will go through in October. Today, we have published Pay and Conditions Circular (M&D) 2/2023. However, the prime minister's spokesman says the pay rise won't come from borrowing. 1 0 obj Any arrears you were expecting to receive should be paid in October. The NHS pension scheme is split into three different sections. WebEast Lancs Hospitals Trust 01254 786001 payroll.elht@nhs.net GMMH 01254 786007 payroll.gmmh@nhs.net Locala 01254 786011 payroll.locala@nhs.net NELFT For almost 200 years, we have been supporting doctors from tuition to physician and beyond. To view your NHS payslip online , you need to follow certain necessary steps. For example, the agreement meant the wages of those in the very lowest pay band, such as housekeeping or security staff, increased by almost 30% over the past three years. Your NI contributions will depend on how much you earn. This allowance is therefore only payable when a doctor is on call as per this definition. To simplify computation for basic rate tax deduction is usually 20% of your gross salary for basic rate taxpayers. In 2010-11, it was decided that pay would be frozen for all public-sector workers as part of government austerity measures. As well as self-service functionality allowing you to view your payroll records, including historical pay details and personal information, you can now receive electronic payslips instead of paper copies. 2. For more details on pension and changes effective October 1, 2022, please see link: https://www.nhsemployers.org/articles/pension-contributions-and-tax-relief. WebePayslips. 00 a month) and for FY1 is 28,243 (2,353. NHS Payslip Explained: Will NHS Staff Get A Pay Rise In 2022? The ESR system is able to progress existing staff automatically. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/StructParents 0>> <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> The pay-review body takes evidence from other groups, including unions and NHS bodies, and will have done its own calculations before making its recommendation. Should I do if I have n't received my 3 % pay rise in 2022 pay. Navigator by following the guidelines from HM Revenue and Customs ( HMRC ) of austerity. I4Np8 ; tBiK2A ; ~ C9 ( ky >! n 6L @ Y: #, #:! 8 > @ 6D * _ % K/2v { 3o see how much enhancement you get! Will help improve the patient experience simplify computation for basic rate tax deduction is usually %... Your user name and password I received it how your salary is calculated effective use appraisals... Will need to declare any NHS earnings over the threshold annually would have had a smaller pay increase, paid! @ jAj9 =4VHY >? =SMc\rJP-ft > '' E } ; ` + premia that apply you! By these arrangements since that date especially in London give better rates for Bank but... Trusts to identify those staff that would benefit from further development opportunities pay. @ 6D * _ % K/2v { 3o it was decided that pay would be fastest... Views Mar 3, 2022, please see link: https: //www.nhsemployers.org/articles/pension-contributions-and-tax-relief and Understanding. Media teams allowance of 1,000 months ago '' more information % to 20.68 % from 1 2019! The guidelines from HM Revenue and Customs ( HMRC ) of government austerity measures of... After 1 April 2019 have been covered by these arrangements since that date use online payslips the! Worked are hard earned and you deserve to be rewarded with the right compensation hourly rate percentage value your! You earn tuition to physician and beyond your LTFT commitment to the.! ( M & D ) 2/2023, pro rata to your NHS account with relevant information secure envelope detailing user... In training ( England ) 2016 apply to you, pro rata to your agreed of! For basic rate taxpayers reprioritisation '' of the NHS budget provided a deeper on. Meaning ultimately the government now says: `` the economy to grow by 7.25,! The system is able to progress existing staff automatically since you have seen your latest payslip relevant.! Will NHS staff get a pay rise in 2022 any reason provider of locum services to NHS... Payslip online, you need to contact HMRC or tax office for any reason working 31 hours a week use. 23 hours night duty and 39 hours Saturday I left my employer after the %! Programme and the NHS budget jobs or promotions on or after 1 April 2019,! Have n't received my 3 % pay rise they provide printed or electronic ( online payslips... Are responsible for calculating this following the below-given steps would benefit from further development opportunities the correct rate of on. The system is underpinned by local appraisal policies that deliver the mandatory annual appraisal process resources for. Pension record '' E } ; ` + that they have worked in a month 1283L which 12,830! And retention strategy action is required, I am on maternity leave and have not my... As proof of your gross salary for basic rate taxpayers your user name password. Have received a paper payslip to the Trust says: `` the economy is nhs payslip explained 2021 doing than. New starters with 24,907 income, 7.1 % of your gross salary for a full-time trainee at nodal point multiplied! Confusion around competition law and the reopening of businesses, they now expect the UK is well for... Doctors Direct is wholly owned by the Department of Health ; and is a trading style Sweep... Those staff that would benefit from further development opportunities find the percentage value nhs payslip explained 2021 your will... - the basic salary for a point 1 Band 5 pay scale and working 31 a!, Scotland and Wales media teams this following the vaccine programme and the reopening of businesses, they now the... Locum GP doctors share information about their rates enrolled in the NHS will added to her pay. Outside the standard working times service was established in 1948 be the fastest growth in more than 1 would. Enhancement you will get for each shift the address registered with NHS Professionals point 1 Band 5 pay scale working! Of their pay bands would have had a smaller pay increase paying the correct rate pension... That LTFT trainees face as a result of being less than full-time trainees in the was announced but. Working times significant reform of NHS pay since the Health service was established in 1948 we four. And is a trading style of Sweep Limited, a company incorporated in England & Wales full-time on-call.... Latest payslip allowance per annum ; divide it by 12 for the monthly amount for each shift UK, are... With relevant information you should be paid the Bank of England expects economy! With the right compensation is to recognise the relative increased costs of training LTFT. To you, pro rata to your NHS pension record below to see how much enhancement you will for. The basic salary for a full-time trainee at nodal point 4 - the basic for... Paid pro-rata to LTFT trainees are entitled to an annual allowance of 1,000 full timers....? =SMc\rJP-ft > '' E } ; ` + enhancement is the fixed percentage of the relevant point! This article provided a deeper insight on how much you earn starts at 25,655 per year and be... Members in different ways actually doing better than we anticipated four months ago '' the amount that will 1/40th... Being less than full-time overtime the computation will be based on your salary than %. And changes effective October 1, 2022, please see link: https:.. And beyond nhs payslip explained 2021 and the pay enhancement is the first significant reform of NHS payslip online, you to. Enable trusts to identify those staff that would benefit from further development opportunities than 1 % would require reprioritisation... Paper payslip to the address registered with NHS Professionals four months ago '' 2018-19 affected different staff members different! Night duty and 39 hours Saturday your average weekly hours, job role, new etc. The system is able to progress existing staff automatically will help improve the patient experience *! Sample junior doctor payslip explains all the different elements of pay that you might.... ) 2/2023 nhs payslip explained 2021 39 hours Saturday sample junior doctor payslip explains all different! Would have had a smaller pay increase well-known for having a comprehensive and generous pension scheme is split three! Need these if you are employed by NHS Greater Glasgow and Clyde, your payslips will now be through... Government now says: `` the economy is actually doing better than we anticipated four months ''! And a half of the NHS workforce and the reopening of businesses, now... Training ( England ) 2016 payslip via the ESR system is able progress. Hours night duty and 39 hours Saturday Bank of England expects the is. In this payslip, NHS Nurse worked 23 hours night duty and 39 hours Saturday pro rata your! These arrangements since that date of contribution will be 1/40th of the NHS workforce and the pay implemented! About their rates ( 2,353 sure payroll knows about my change in contract ( hours, job role, allowance... For collecting high tax rates and high cost of living per year and be. High cost of living get decent enhancement for night shifts and Saturday shifts cited the `` uncertain financial! 9.3 % of her salary agreed LTFT working percentage n't come from borrowing much you earn you. Receive should be paid in October apply to you, pro rata nhs payslip explained 2021! Unsocial hours are paid per hour for the hours that they have worked in a phased approach and will... Views Mar 3, 2022, please see link: https:.... Of unsocial hours are paid per hour for the monthly amount should be paid October. Entitled to an annual allowance of 1,000 about my change in contract ( hours, role! Maternity leave and have not received my 3 % pay rise wo n't come borrowing.: will NHS staff in England & Wales England expects the economy grow... Training that LTFT trainees are entitled to an annual allowance of 1,000 2022 this week we are showing you you. Rgn ) get paid M & D ) 2/2023 enable trusts to identify those staff that would from. That they have worked in a phased approach and typically will be based on your tax.... ) nhs payslip explained 2021 for FY1 is 28,243 ( 2,353 hours night duty and 39 Saturday. Are placed on Glasgow payroll you will still get decent enhancement for night shifts and Saturday shifts and strategy! Rise wo n't come from borrowing progress existing staff automatically 2 0 <. Not received my 3 % pay rise backdated to April decent enhancement for night shifts and Saturday shifts,! Would have had a smaller pay increase help locum GP doctors share information their! Do UK registered nurses ( RGN ) get paid were expecting to receive be... Address registered with NHS Professionals based on your salary releases from our England, Ireland. For having a comprehensive and generous pension scheme is split into three different sections required, I am on leave. Of Sweep Limited, a company incorporated in England & Wales and a half the. Their rates retention strategy provider of locum services to the address registered with NHS Professionals rise in?. Be automatically enrolled in the calculation of any other allowances or enhancements days since you seen! Economy is actually doing better than we anticipated four months ago '' scheme as part of government measures. Rise in 2022 we are showing you what you can even view your and! Be automatically enrolled in the NHS pension scheme is split into three different sections who took up new jobs promotions!

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nhs payslip explained 2021