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Ramsay Health Care (QLD) Nursing & Midwifery Wages
Nursing & midwifery pay — current rates, penalties & allowances
Enterprise Agreement
Ramsay Health Care Queensland Nurses and Midwives Enterprise Agreement 2025-2029
Lodged with the Fair Work Commission for approval (AG2026/2289, 21 August 2026) — the 1 October 2025 rates apply retrospectively once approved; the 2023–2025 agreement continues to operate until then
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Roles & Wages
| Role | Pay Point | Oct 2022 | June 2023 | Oct 2023 | Oct 2024 | Oct 2025 | Oct 2026 | Oct 2027 | Apr 2028 | Oct 2028 |
|---|---|---|---|---|---|---|---|---|---|---|
Assistant in Nursing AIN | AIN 1 | $27.28 $54,078.05 / yr | $27.96 $55,426.04 / yr | $28.94 $57,368.73 / yr | $29.95 $59,370.88 / yr | $30.85 $61,154.98 / yr | $31.62 $62,681.38 / yr | $32.41 $64,247.42 / yr | $33.38 $66,170.29 / yr | $34.39 $68,172.44 / yr |
| AIN 2 | $28.06 $55,624.27 / yr | $28.76 $57,011.91 / yr | $29.77 $59,014.06 / yr | $30.81 $61,075.69 / yr | $31.73 $62,899.44 / yr | $32.53 $64,485.3 / yr | $33.34 $66,090.99 / yr | $34.34 $68,073.33 / yr | $35.37 $70,115.13 / yr | |
| AIN 3 | $29.63 $58,736.54 / yr | $30.37 $60,203.46 / yr | $31.43 $62,304.74 / yr | $32.53 $64,485.3 / yr | $33.51 $66,427.99 / yr | $34.35 $68,093.15 / yr | $35.21 $69,797.96 / yr | $36.26 $71,879.41 / yr | $37.35 $74,040.15 / yr | |
Enrolled Nurse Level 1 EN 1 | EN 1 | $32.59 $64,604.24 / yr | $33.40 $66,209.93 / yr | $34.57 $68,529.26 / yr | $35.78 $70,927.89 / yr | $36.85 $73,048.98 / yr | $37.78 $74,892.55 / yr | $38.72 $76,755.95 / yr | $39.88 $79,055.45 / yr | $41.08 $81,434.25 / yr |
| EN 2 | $33.28 $65,972.05 / yr | $34.11 $67,617.39 / yr | $35.30 $69,976.37 / yr | $36.54 $72,434.46 / yr | $37.63 $74,595.2 / yr | $38.58 $76,478.42 / yr | $39.54 $78,381.46 / yr | $40.73 $80,740.44 / yr | $41.95 $83,158.88 / yr | |
| EN 3 | $33.97 $67,339.86 / yr | $34.82 $69,024.85 / yr | $36.04 $71,443.29 / yr | $37.30 $73,941.03 / yr | $38.42 $76,161.25 / yr | $39.38 $78,064.29 / yr | $40.36 $80,006.97 / yr | $41.57 $82,405.6 / yr | $42.82 $84,883.51 / yr | |
| EN 4 | $34.67 $68,727.5 / yr | $35.54 $70,452.13 / yr | $36.78 $72,910.22 / yr | $38.07 $75,467.43 / yr | $39.21 $77,727.29 / yr | $40.19 $79,669.98 / yr | $41.20 $81,672.13 / yr | $42.43 $84,110.4 / yr | $43.71 $86,647.79 / yr | |
| EN 5 | $35.35 $70,075.48 / yr | $36.24 $71,839.76 / yr | $37.51 $74,357.32 / yr | $38.82 $76,954.18 / yr | $39.98 $79,253.69 / yr | $40.98 $81,236.02 / yr | $42.01 $83,277.82 / yr | $43.27 $85,775.56 / yr | $44.57 $88,352.6 / yr | |
Enrolled Nurse Level 2 (Endorsed) EEN | EEN 1 | $33.20 $65,813.47 / yr | $34.03 $67,458.8 / yr | $35.22 $69,817.78 / yr | $36.45 $72,256.05 / yr | $37.55 $74,436.62 / yr | $38.49 $76,300.01 / yr | $39.45 $78,203.05 / yr | $40.63 $80,542.2 / yr | $41.85 $82,960.65 / yr |
| EEN 2 | $33.89 $67,181.28 / yr | $34.74 $68,866.26 / yr | $35.95 $71,264.88 / yr | $37.21 $73,762.62 / yr | $38.33 $75,982.84 / yr | $39.29 $77,885.88 / yr | $40.27 $79,828.56 / yr | $41.48 $82,227.19 / yr | $42.72 $84,685.28 / yr | |
| EEN 3 | $34.64 $68,668.03 / yr | $35.50 $70,372.83 / yr | $36.75 $72,850.75 / yr | $38.03 $75,388.14 / yr | $39.17 $77,648 / yr | $40.15 $79,590.68 / yr | $41.16 $81,592.84 / yr | $42.39 $84,031.11 / yr | $43.66 $86,548.67 / yr | |
| EEN 4 | $35.28 $69,936.72 / yr | $36.17 $71,701 / yr | $37.43 $74,198.74 / yr | $38.74 $76,795.59 / yr | $39.90 $79,095.1 / yr | $40.90 $81,077.43 / yr | $41.93 $83,119.24 / yr | $43.18 $85,597.15 / yr | $44.48 $88,174.19 / yr | |
| EEN 5 | $35.96 $71,284.71 / yr | $36.86 $73,068.81 / yr | $38.15 $75,626.02 / yr | $39.49 $78,282.34 / yr | $40.67 $80,621.5 / yr | $41.69 $82,643.48 / yr | $42.73 $84,705.1 / yr | $44.02 $87,262.31 / yr | $45.34 $89,878.99 / yr | |
| EEN 6 | $36.40 $72,156.93 / yr | $37.31 $73,960.86 / yr | $38.61 $76,537.89 / yr | $39.96 $79,214.04 / yr | $41.16 $81,592.84 / yr | $42.19 $83,634.64 / yr | $43.25 $85,735.92 / yr | $44.54 $88,293.13 / yr | $45.88 $90,949.45 / yr | |
Enrolled Nurse — Advanced Practice AEN New classification under the 2025–2029 agreement (cl 4.3.6). The first figure is the agreement’s “on commencement” rate — it applies from the day the new agreement starts operating (seven days after Fair Work Commission approval), not from 1 October 2025. | AEN 1 | — | — | — | — | $41.45 $82,167.72 / yr | $42.49 $84,229.34 / yr | $43.55 $86,330.62 / yr | $44.85 $88,907.65 / yr | $46.20 $91,583.8 / yr |
| AEN 2 | — | — | — | — | $43.98 $87,183.02 / yr | $45.08 $89,363.59 / yr | $46.21 $91,603.62 / yr | $47.59 $94,339.24 / yr | $49.02 $97,173.98 / yr | |
Registered Nurse / Midwife Level 1 RN/RM 1 Part-time and casual increments require 1,800 worked hours and at least 12 months on the increment. From 1 April 2028 the ladder is renumbered: the Re-entry rate leaves the RN 1.x sequence, RN 1.2 becomes RN 1.1 and so on up to RN 1.8 becoming RN 1.7, and a new top increment (RN 1.8) is added. Each row here follows the same pay point through the renumbering. | RN 1.1 (Re-entry) | $36.40 $72,156.93 / yr | $37.31 $73,960.86 / yr | $38.61 $76,537.89 / yr | $39.96 $79,214.04 / yr | $41.16 $81,592.84 / yr | $42.19 $83,634.64 / yr | $43.25 $85,735.92 / yr | $44.54 $88,293.13 / yr | $45.88 $90,949.45 / yr |
| RN 1.2 | $38.15 $75,626.02 / yr | $39.11 $77,529.06 / yr | $40.47 $80,225.03 / yr | $41.89 $83,039.94 / yr | $43.15 $85,537.68 / yr | $44.23 $87,678.6 / yr | $45.33 $89,859.17 / yr | $46.69 $92,555.14 / yr | $48.09 $95,330.41 / yr | |
| RN 1.3 | $40.10 $79,491.57 / yr | $41.10 $81,473.9 / yr | $42.54 $84,328.46 / yr | $44.03 $87,282.14 / yr | $45.35 $89,898.82 / yr | $46.49 $92,158.68 / yr | $47.65 $94,458.18 / yr | $49.08 $97,292.92 / yr | $50.55 $100,206.95 / yr | |
| RN 1.4 | $41.67 $82,603.83 / yr | $42.71 $84,665.46 / yr | $44.21 $87,638.96 / yr | $45.75 $90,691.75 / yr | $47.13 $93,427.37 / yr | $48.31 $95,766.52 / yr | $49.51 $98,145.32 / yr | $51.00 $101,099 / yr | $52.53 $104,131.97 / yr | |
| RN 1.5 | $43.43 $86,092.74 / yr | $44.51 $88,233.66 / yr | $46.07 $91,326.1 / yr | $47.68 $94,517.65 / yr | $49.11 $97,352.39 / yr | $50.34 $99,790.66 / yr | $51.60 $102,288.4 / yr | $53.15 $105,361.02 / yr | $54.74 $108,512.93 / yr | |
| RN 1.6 | $45.19 $89,581.64 / yr | $46.32 $91,821.68 / yr | $47.94 $95,033.06 / yr | $49.62 $98,363.38 / yr | $51.11 $101,317.06 / yr | $52.39 $103,854.44 / yr | $53.69 $106,431.48 / yr | $55.31 $109,642.86 / yr | $56.96 $112,913.71 / yr | |
| RN 1.7 | $46.95 $93,070.55 / yr | $48.13 $95,409.7 / yr | $49.81 $98,740.02 / yr | $51.55 $102,189.28 / yr | $53.10 $105,261.9 / yr | $54.43 $107,898.4 / yr | $55.79 $110,594.38 / yr | $57.46 $113,904.87 / yr | $59.19 $117,334.31 / yr | |
| RN 1.8 | $49.19 $97,510.98 / yr | $50.42 $99,949.25 / yr | $52.19 $103,457.98 / yr | $54.01 $107,065.82 / yr | $55.63 $110,277.2 / yr | $57.03 $113,052.47 / yr | $58.45 $115,867.38 / yr | $60.20 $119,336.47 / yr | $62.01 $122,924.49 / yr | |
| RN 1.8 — new top increment from 1 Apr 2028 | — | — | — | — | — | — | — | $61.97 $122,845.2 / yr | $63.83 $126,532.34 / yr | |
Registered Nurse / Midwife Level 2 (Clinical Nurse / Midwife) RN/RM 2 | RN 2.1 | $49.83 $98,779.67 / yr | $51.08 $101,257.59 / yr | $52.86 $104,786.14 / yr | $54.72 $108,473.28 / yr | $56.36 $111,724.31 / yr | $57.77 $114,519.4 / yr | $59.21 $117,373.96 / yr | $60.99 $120,902.51 / yr | $62.82 $124,530.18 / yr |
| RN 2.2 | $51.23 $101,554.94 / yr | $52.51 $104,092.32 / yr | $54.34 $107,719.99 / yr | $56.25 $111,506.25 / yr | $57.93 $114,836.57 / yr | $59.38 $117,710.95 / yr | $60.87 $120,664.63 / yr | $62.69 $124,272.48 / yr | $64.57 $127,999.26 / yr | |
| RN 2.3 | $52.15 $103,378.68 / yr | $53.45 $105,955.72 / yr | $55.32 $109,662.68 / yr | $57.26 $113,508.41 / yr | $58.98 $116,918.02 / yr | $60.45 $119,832.05 / yr | $61.96 $122,825.37 / yr | $63.82 $126,512.51 / yr | $65.74 $130,318.59 / yr | |
| RN 2.4 | $53.57 $106,193.6 / yr | $54.91 $108,849.92 / yr | $56.83 $112,656 / yr | $58.82 $116,600.85 / yr | $60.59 $120,109.58 / yr | $62.10 $123,102.9 / yr | $63.65 $126,175.52 / yr | $65.56 $129,961.77 / yr | $67.53 $133,866.97 / yr | |
Registered Nurse / Midwife Level 3 (Clinical Nurse / Midwife Consultant) RN/RM 3 | RN 3.1 | $56.73 $112,457.77 / yr | $58.14 $115,252.86 / yr | $60.18 $119,296.82 / yr | $62.29 $123,479.54 / yr | $64.15 $127,166.68 / yr | $65.76 $130,358.24 / yr | $67.40 $133,609.27 / yr | $69.42 $137,613.58 / yr | $71.51 $141,756.66 / yr |
| RN 3.2 | $58.06 $115,094.27 / yr | $59.52 $117,988.48 / yr | $61.60 $122,111.73 / yr | $63.76 $126,393.57 / yr | $65.67 $130,179.83 / yr | $67.31 $133,430.86 / yr | $68.99 $136,761.18 / yr | $71.06 $140,864.61 / yr | $73.19 $145,086.98 / yr | |
| RN 3.3 | $59.39 $117,730.78 / yr | $60.88 $120,684.45 / yr | $63.01 $124,906.82 / yr | $65.22 $129,287.78 / yr | $67.17 $133,153.33 / yr | $68.85 $136,483.65 / yr | $70.57 $139,893.26 / yr | $72.69 $144,095.81 / yr | $74.87 $148,417.3 / yr | |
| RN 3.4 | $61.04 $121,001.63 / yr | $62.56 $124,014.77 / yr | $64.75 $128,356.08 / yr | $67.02 $132,855.98 / yr | $69.03 $136,840.47 / yr | $70.76 $140,269.91 / yr | $72.53 $143,778.64 / yr | $74.70 $148,080.3 / yr | $76.94 $152,520.73 / yr | |
Clinical Nurse Manager CNM New classification under the 2025–2029 agreement (cl 4.3.12). Excluded from the overtime and on-call provisions, and — from the new agreement’s commencement — from shift and weekend loadings (cl 5.3.2). Public holiday pay still applies. | Year 1 | — | — | — | — | $66.84 $132,499.16 / yr | $68.51 $135,809.66 / yr | $70.22 $139,199.45 / yr | $72.33 $143,382.17 / yr | $74.50 $147,683.83 / yr |
| Year 2 | — | — | — | — | $69.87 $138,505.63 / yr | $71.62 $141,974.71 / yr | $73.41 $145,523.09 / yr | $75.61 $149,884.22 / yr | $77.88 $154,384.12 / yr | |
| Year 3 | — | — | — | — | $71.63 $141,994.54 / yr | $73.42 $145,542.91 / yr | $75.26 $149,190.41 / yr | $77.51 $153,650.66 / yr | $79.84 $158,269.49 / yr | |
After Hours Manager AHM The lodged 2025–2029 text prints $68.08 for 1 October 2025 — the same as the 1 October 2024 rate, with the later columns compounding from it. Shown as printed; check against the approved agreement. | 200+ beds | $62.00 $122,904.67 / yr | $63.55 $125,977.28 / yr | $65.77 $130,378.06 / yr | $68.08 $134,957.25 / yr | $68.08 $134,957.25 / yr | $69.78 $138,327.22 / yr | $71.53 $141,796.3 / yr | $73.67 $146,038.5 / yr | $75.88 $150,419.45 / yr |
Nurse / Midwife Unit Manager NUM/MUM Excluded from the overtime and on-call provisions (cl 5.8.1, 5.9.1), and — from the 2025–2029 agreement’s commencement — from shift and weekend loadings (cl 5.3.2). Public holiday pay still applies. | NUM/MUM 1 | $62.06 $123,023.61 / yr | $63.61 $126,096.22 / yr | $65.84 $130,516.83 / yr | $68.14 $135,076.19 / yr | $70.18 $139,120.15 / yr | $71.94 $142,609.06 / yr | $73.74 $146,177.26 / yr | $75.95 $150,558.22 / yr | $78.23 $155,077.94 / yr |
| NUM/MUM 2 | $64.88 $128,613.79 / yr | $66.50 $131,825.17 / yr | $68.83 $136,444 / yr | $71.24 $141,221.43 / yr | $73.37 $145,443.8 / yr | $75.21 $149,091.29 / yr | $77.09 $152,818.08 / yr | $79.40 $157,397.27 / yr | $81.78 $162,115.22 / yr | |
| NUM/MUM 3 | $66.50 $131,825.17 / yr | $68.16 $135,115.84 / yr | $70.55 $139,853.62 / yr | $73.02 $144,749.98 / yr | $75.21 $149,091.29 / yr | $77.09 $152,818.08 / yr | $79.01 $156,624.16 / yr | $81.38 $161,322.29 / yr | $83.83 $166,179 / yr | |
| NUM/MUM 4 | $67.15 $133,113.68 / yr | $68.83 $136,444 / yr | $71.24 $141,221.43 / yr | $73.73 $146,157.44 / yr | $75.94 $150,538.39 / yr | $77.84 $154,304.83 / yr | $79.78 $158,150.55 / yr | $82.18 $162,908.15 / yr | $84.64 $167,784.69 / yr | |
Registered Nurse Level 4 (Assistant Director of Clinical Services / Perioperative Services Manager) RN 4 / ADCS Excluded from the overtime and on-call provisions, and — from the 2025–2029 agreement’s commencement — from shift and weekend loadings (cl 5.3.2). The bed-band grades are renamed Tier 1, 2 and 3 on commencement at the same rates (cl 4.3). | Grade 1: 50–150 beds (Tier 1 from commencement) | $69.15 $137,078.35 / yr | $70.88 $140,507.79 / yr | $73.36 $145,423.97 / yr | $75.93 $150,518.57 / yr | $78.20 $155,018.47 / yr | $80.16 $158,903.84 / yr | $82.16 $162,868.51 / yr | $84.63 $167,764.87 / yr | $87.17 $172,800 / yr |
| Grade 2: 150–200 beds (Tier 2 from commencement) | $72.30 $143,322.7 / yr | $74.11 $146,910.72 / yr | $76.71 $152,064.79 / yr | $79.39 $157,377.44 / yr | $81.77 $162,095.4 / yr | $83.82 $166,159.18 / yr | $85.91 $170,302.26 / yr | $88.49 $175,416.68 / yr | $91.14 $180,669.86 / yr | |
| Grade 3: 200+ beds (Tier 3 from commencement) | $77.44 $153,511.89 / yr | $79.38 $157,357.62 / yr | $82.16 $162,868.51 / yr | $85.03 $168,557.8 / yr | $87.58 $173,612.75 / yr | $89.77 $177,954.06 / yr | $92.02 $182,414.31 / yr | $94.78 $187,885.55 / yr | $97.62 $193,515.38 / yr | |
Nurse Practitioner NP New classification under the 2025–2029 agreement (cl 4.3.11). The first figure is the agreement’s “on commencement” rate — it applies from the day the new agreement starts operating (seven days after Fair Work Commission approval), not from 1 October 2025. | NP 1 | — | — | — | — | $77.50 $153,630.83 / yr | $79.44 $157,476.56 / yr | $81.42 $161,401.58 / yr | $83.87 $166,258.3 / yr | $86.38 $171,233.95 / yr |
| NP 2 | — | — | — | — | $79.50 $157,595.5 / yr | $81.49 $161,540.34 / yr | $83.52 $165,564.48 / yr | $86.03 $170,540.14 / yr | $88.61 $175,654.56 / yr | |
| NP 3 | — | — | — | — | $80.90 $160,370.77 / yr | $82.92 $164,375.08 / yr | $85.00 $168,498.33 / yr | $87.55 $173,553.28 / yr | $90.17 $178,747 / yr |
Hourly rates calculated as: Source hourly rate. Annual equivalent shown beneath each rate.
Allowances
| Allowance | Unit | Oct 2022 | June 2023 | Oct 2023 | Oct 2024 | Oct 2025 | Oct 2026 | Oct 2027 | Oct 2028 |
|---|---|---|---|---|---|---|---|---|---|
In-Charge Allowance RN Level 1 directed or appointed in charge, or shift leader, where no NUM, Level 3 or Level 2 is available in the ward/unit (cl 4.6.5) | Per Shift | $14.98 | $15.36 | $15.89 | $16.45 | $16.94 | $17.37 | $17.80 | $18.34 |
Higher Duties Allowance (relief under 1 week) Relieving a higher classification for at least 5 hours on a shift but less than one week (cl 4.6.6). Relief of a week or more is paid at the full higher rate. | Per Shift | $14.98 | $15.36 | $15.89 | $16.45 | $16.94 | $17.37 | $17.80 | $18.34 |
Qualification Allowance — Certificate or Diploma Post-enrolment / post-registration certificate or diploma relevant to the work, for an EN or RN Level 1–3 (cl 4.6.4) | Per Week | $22.47 | $23.03 | $23.84 | $24.67 | $25.41 | $26.05 | $26.70 | $27.50 |
Qualification Allowance — Masters or PhD AQF Level 9 or above, with a related degree as prerequisite (cl 4.6.4) | Per Week | $44.93 | $46.05 | $47.66 | $49.33 | $50.81 | $52.08 | $53.38 | $54.98 |
Uniform Allowance — 2023–2025 agreement Where a uniform is required and not provided. Paid pro-rata each fortnight. Continues to apply until the 2025–2029 agreement commences, when it is replaced by the weekly allowance below. | Per Year | $300.86 | $308.38 | $319.17 | $330.34 | — | — | — | — |
Uniform Allowance — 2025–2029 agreement Where a uniform is required and not provided (cl 4.6.2). The first 2025–2029 figure is the agreement’s “on commencement” rate (seven days after Fair Work Commission approval). | Per Week | — | — | — | — | $6.50 | $6.66 | $6.83 | $7.03 |
X-Ray (Lead Apron) Allowance — 2023–2025 agreement For time a lead apron or similar is worn, subject to the minimum weekly payment below. Applies until the 2025–2029 agreement commences, when it is replaced by the per-shift Lead Apron Allowance. | Per Hour | $0.55 | — | — | — | — | — | — | — |
X-Ray Allowance — minimum weekly payment (2023–2025 agreement) | Per Week | $12.43 | $12.74 | $13.19 | $13.65 | — | — | — | — |
Lead Apron Allowance — 2025–2029 agreement Where a lead apron or similar is worn for at least one continuous hour in the day or shift (cl 4.6.3). The first 2025–2029 figure is the agreement’s “on commencement” rate (seven days after Fair Work Commission approval). | Per Shift | — | — | — | — | $5.00 | $5.13 | $5.25 | $5.41 |
On-Call — Monday to Friday (full period) A 24-hour period, or the full period between shifts; in non-24/7 units, also a period of 12 hours or more (cl 4.6.1) | Per Period | $35.92 | $36.82 | $38.10 | $39.44 | $40.62 | $41.64 | $42.68 | $43.96 |
On-Call — Weekend, Public Holiday, ADO or RDO (full period) | Per Period | $58.65 | $60.12 | $62.22 | $64.40 | $66.33 | $67.99 | $69.69 | $71.78 |
On-Call — shorter period, Monday to Friday Where the period does not meet the full-period definitions above | Per Period | $24.24 | $24.85 | $25.72 | $26.62 | $27.42 | $28.10 | $28.81 | $29.67 |
On-Call — shorter period, Weekend / Public Holiday | Per Period | $43.29 | $44.37 | $45.93 | $47.07 | $48.48 | $49.69 | $50.94 | $52.46 |
Overtime Meal Allowance After more than 2 hours of overtime (or more than 1 hour where overtime continues beyond 6:00pm), and after each completed 4 hours thereafter (cl 5.8.9) | Per Meal | $14.37 | $14.73 | $15.25 | $15.78 | $16.25 | $16.66 | $17.08 | $17.59 |
Greenslopes Night Shift Special Payment — 2023–2025 agreement Greenslopes Private Hospital only, under Schedule D of the 2023–2025 agreement — full-time / part-time RN Level 1–3 and ENs on a shift attracting the night penalty, not on weekends or public holidays. The lodged 2025–2029 agreement does not carry this payment forward. | Per Shift | $13.50 | — | — | — | — | — | — | — |
Penalty Rates
Afternoon Shift+12.5%
Shift commencing at or after midday, or commencing earlier with the majority of ordinary hours after 3:00pm. Casual 137.5% once the 2025–2029 agreement commences (135.5% before, on the 23% loading).
Night Shift+20%
Shift commencing at or after 6:00pm or before 7:30am, with the major portion worked between 6:00pm and 7:30am. Casual 145% once the 2025–2029 agreement commences (143% before).
Sunday Night Shift+25%
New in the 2025–2029 agreement (cl 5.3.3): a night shift that commences on a Sunday attracts 25% instead of 20% for the ordinary hours worked after midnight. Casual 150%.
Greenslopes day shift before 6:00am+20%
Greenslopes Private Hospital only: a 20% penalty on the time worked before 6:00am where a day shift starts earlier.
Saturday150%
Ordinary hours between midnight Friday and midnight Saturday. Casual 175% once the 2025–2029 agreement commences (173% before).
Sunday175%
Ordinary hours between midnight Saturday and midnight Sunday. Casual 200% once the 2025–2029 agreement commences (198% before).
Public Holiday200%
Ordinary hours worked on a public holiday. Casuals are paid a flat 250% inclusive of the casual loading.
Notes
- •Rates are ordinary hourly rates, effective from the first full pay period on or after each date.
- •The 1 October 2022 to 1 October 2024 columns are the Ramsay Health Care Queensland Nurses and Midwives Enterprise Agreement 2023–2025 ([2023] FWCA 2998, AE521531), which passed its nominal expiry on 30 June 2025 and continues to operate until the new agreement is approved.
- •The 1 October 2025 to 1 October 2028 columns are Schedule A of the replacement Ramsay Health Care Queensland Nurses and Midwives Enterprise Agreement 2025–2029, voted up by employees and lodged with the Fair Work Commission for approval on 21 August 2026 (application AG2026/2289). It had not yet been approved when these tables were transcribed from the lodged text; approval decisions rarely change the pay tables, but the figures will be re-checked against the approved agreement.
- •Increases under the 2025–2029 agreement: +3% from 1 October 2025, +2.5% from 1 October 2026, +2.5% from 1 October 2027, +3% from 1 April 2028 and +3% from 1 October 2028. Each step applies from the first full pay period on or after its date, and the 1 October 2025 step is paid retrospectively however late approval lands (cl 4.1).
- •The new agreement commences seven days after Fair Work Commission approval. Everything the agreement changes “on commencement” — the casual loading rising from 23% to 25%, the weekly Uniform Allowance, the per-shift Lead Apron Allowance, the three new classifications (Enrolled Nurse — Advanced Practice, Nurse Practitioner, Clinical Nurse Manager) and the manager loading exclusions — starts on that day rather than on 1 October 2025.
- •Casual loading: 23% under the 2023–2025 agreement, 25% from the 2025–2029 agreement’s commencement. Penalties and the casual loading are each calculated on the base rate and added together — they do not compound.
- •Overtime steps at 3 hours, not 2: 150% for the first 3 hours then 200%, Monday to Saturday. Sunday overtime is 200%, and public holiday overtime 250%. Casual overtime rates are inclusive of the loading: 173% / 223% / 223% / 273% under the 2023–2025 agreement, becoming 175% / 225% / 225% / 275% from commencement.
- •Nurse Unit Managers, Level 4 Registered Nurses and Clinical Nurse Managers are excluded from the overtime and on-call provisions and from the meal-break double-time rule. From commencement, the 2025–2029 agreement also withholds shift and weekend loadings from these three roles (cl 5.3.2); public holiday pay is unchanged.
- •Shift and weekend loadings apply to ordinary hours only, and where more than one could apply only the highest is paid — afternoon and night penalties are not payable on a Saturday, Sunday or public holiday where the weekend/holiday rate applies.
- •Standard full-time hours are 38 per week, with a maximum of 10 ordinary hours a day unless on a 12-hour shift roster.
- •Progression: part-time and casual increments require 1,800 worked hours and at least 12 months on the increment. Registered Nurse Level 1 is renumbered from 1 April 2028 (see the Level 1 table).
- •Annual leave is 5 weeks, or 6 weeks for shift workers regularly rostered across seven days (and for staff who rotate through the required minimum of day, afternoon and night shifts in a year). A further 38 hours accrues for 20+ call-ins or 75+ on-call periods in a year.
- •Greenslopes Private Hospital keeps its site rule of a 20% penalty on day-shift time worked before 6:00am; the 2023–2025 agreement’s $13.50 night shift special payment does not appear in the lodged 2025–2029 text.
- •Source: Ramsay Health Care Queensland Nurses and Midwives Enterprise Agreement 2025–2029 as lodged with the Fair Work Commission (AG2026/2289): fwc.gov.au — and the current Ramsay Health Care Queensland Nurses and Midwives Enterprise Agreement 2023–2025 ([2023] FWCA 2998, AE521531): fwc.gov.au
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