Unison says that for years the health workers carried out tasks - such as taking blood, performing tests and inserting cannulas - that should have been paid at a higher hourly rate than they received.

In 2024, their employer - County Durham and Darlington NHS Foundation Trust - accepted they were performing duties at a higher level and regraded them.

The level of back pay for the extra work remained a sticking point, but staff agreed a deal in September 2025, which saw them receive up to £5,500 depending on length of service.

The extra money was due to be paid in November, but the trust halted the payments saying it needed approval from NHS England.

With the help of local MPs Liz Twist and Mary Foy, Unison continued to press for urgent action, asking the Government to intervene. The trust has now confirmed that payments will be made in February.

Unison Northern regional secretary, Clare Williams, said: ‘These are low-paid workers, the vast majority of them women, who keep hospitals running by doing vital tasks under huge pressure.

‘They've been carrying out clinical duties for years without proper recognition and deserved to be swiftly and fairly compensating for their extra efforts.

‘It's unacceptable that they were left in limbo for months. Staff have always prioritised patient care, and now they can continue to do this knowing their work is properly valued.'

In response, Andrew Thacker, director of workforce and organisational development at County Durham and Darlington NHS Foundation Trust, said: ‘We have received confirmation that HM Treasury has approved the Dispute Settlement relating to healthcare support workers at our trust. We are working with Unison on the next step which is for both parties to sign the agreement.

‘Subject to this being finalised, we anticipate that payments will be made in February. We are working through arrangements and will confirm details as soon as possible.

‘We recognise that this has been a frustrating and, at times, upsetting process for those colleagues affected. We hope this development provides reassurance that all required national approvals are now complete.

‘We are grateful for the support of NHS England, the Department of Health and Social Care and Unison in helping us reach this stage.'