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UK Nurses and Midwives Face Fee Hike as NMC Approves First Rise in 11 Years

29 Apr 2026 UK Nurses and Midwives Face Fee Hike as NMC Approves First Rise in 11 Years


Thousands of nurses, midwives and nursing associates across the UK are set to pay more each year after the Nursing and Midwifery Council (NMC) approved its first registration fee increase in 11 years. The annual fee will rise from £120 to £143, marking a significant change for healthcare workers who must remain registered to practise legally.

The NMC said the increase was necessary because its financial position had become unsustainable after keeping fees frozen for more than a decade. According to the regulator, rising operational costs, growing workloads and increased demand for services have placed major pressure on its finances.

Officials revealed that the number of professionals on the register has grown sharply, while referrals and regulatory responsibilities have also increased over recent years. The council warned that without a fee rise, financial reserves could fall to unsafe levels.

However, the decision has triggered criticism from many healthcare workers. During a public consultation, a large number of respondents opposed the increase, arguing that nurses and midwives are already dealing with the ongoing cost of living crisis. Some questioned why frontline staff should carry the burden of fixing the regulator’s finances.

The NMC said it understands the pressure on workers and has tried to keep the rise as low as possible. It also pointed to internal cost cutting measures, including staff reductions and lower non staff spending.

The fee increase is expected to remain a controversial issue, with many professionals calling for stronger support for the healthcare workforce instead of additional charges.

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