Irish Medical Organisation

Pay Adjustments – October 2021 – ‘Building Momentum’

As previously advised to members, the ‘Building Momentum’ national pay agreement – during the negotiation of which the IMO represented the medical profession - provides for various pay increases across the lifetime of the Agreement (i.e. December 2020 to December 2022).

One of those pay increases falls due on 1st October 2021.

The details of this pay increase are set out in Section Three of ‘Building Momentum’ and are as follows:

  • A general round increase in annualised basic salary for all public servants of 1% or €500, whichever is greater, on 1 October 2021.


  • Where an individual is due an amount of pay restoration by July 2021 under Section 19 or by July 2022 under Section 20 of the Public Service Pay Pensions Act (2017), they will not benefit from the general round increase in that year. Where the amount of restoration is less than the general round increase the individual will be eligible to be paid the balance on the date of the general round increase.


With respect to Consultants, the pay restoration measures that came into effect on 1st July 2021 did not apply in the main, as these were focused on pay points of less than one hundred and fifty thousand euro. Therefore, the first bullet point applies and those Consultant salaries that were not increased in July, will increase by one percent per annum with effect from 1st October 2021.


We would also advise that additional contractual terms  including B Factors, C Factors and the Clinical Director Allowance have also been increased in line with the terms of ‘Building Momentum’.


You can access the relevant HSE HR Circular here. 


The Consultant salaries effective from 1st October 2021 can be accessed via the IMO website.  


If you have any queries in this regard, please contact the IMO Member Advisory Unit on (01) 6767273 or by e-mail at

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