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The union had campaigned for the previous three-year deal to be renegotiated in light of the pandemic.
In March, Health Secretary Jeane Freeman offered a wage increase of at least 4 per cent to staff on contracts under the Agenda for Change system.
Almost 50,000 Unison members were balloted on the proposal and 35 per cent voted, with 84 per cent accepting it.
Union officials say they will now push for the deal to be implemented as soon as possible.
Unison head of health Willie Duffy said: “This pay rise represents a fair increase for our members and means the majority of our NHS staff will receive a pay increase of at least 4 per cent, which will be backdated to December.
BBC News
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image captionUnison members demonstrated last year in a bid to be paid more money
Members of Scotland s largest health union have voted to accept a deal that will see most NHS staff receive a 4% pay rise.
Unison said on Wednesday that its members voted overwhelmingly for the rise.
The deal has been on the table since the end of March and will be backdated to December, the Scottish government said.
Unison is now calling for the rise to be implemented as soon as possible.
The offer came after a period of negotiation between unions and NHS bosses.